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适龄妇女药物流产后上环的临床观察

         

摘要

Objective To observe the method of medical abortion after summary and nursing ef ect on the ring.Methods The patients admit ed to a voluntary termination of pregnancy requires 120 cases,while women choose the same period of 120 cases of induced abortion as a control group,aged 23 to 42 years,mean 28.6 years old,on-line artificial abortion ring.Observation of Group 1 and day 2 morning 9:00 mifepristone 50mg,evening 9:00 mifepristone 25mg,before and after taking two hours fasting.The first three days after 6:00 600μg misoprostol into the vagina fornix.Bed rest for two hours, the same day stay in hospital for observation for 6 to 8 hours, until the gestational sac discharge.Results In the observation group, good in 74 cases (62.5%), 42 cases (35%), the total ef ective rate was 98.4%, control group 77 cases (64.2%), good in 38 cases (31.7%) in general, the total ef iciency of 97.5%, the two groups have no significant dif erence ( >0.05). Conclusion After drug abortion on the abortion bleeding more ful y, to reduce to a minimum, reduce the number of intrauterine operation, easy to accept patients.%目的总结药物流产后上环的观察方法及护理效果。方法收治自愿要求终止妊娠患者120例,同时选择同期行人工流产的妇女120例作为对照组,年龄23~42岁,平均28.6岁,行人工流产后上环。观察组第1d和第2d上午9:00口服米非司酮50mg,晚上21:00口服米非司酮25mg,服药前后2h禁食。第3d早晨6:00将米索前列醇600μg塞入阴道后弯隆。卧床休息2h,当日留院观察6~8h,待孕囊排出后,对照组即行清宫上环术,两组妇女均给予抗生素治疗。结果观察组良好74例(62.5%),一般42例(35.0%),总有效率98.4%,对照组良好77例(64.2%),一般38例(31.7%),总有效率97.5%,两组比较无显著性差异(>0.05)。结论药物流产后上环,使流产更完全,出血减少到最低程度,减少了宫内操作的次数,易于患者接受,简单易行。

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