不同引产方式终止早期妊娠的临床分析

The Chinical Analysis of Different Methods about Abortion during Termination Early Pregnancy

目的探讨不同引产方式终止早期妊娠的临床比较。方法对自愿终止早孕的妊娠者随机分为Ⅰ、Ⅱ、Ⅲ3组,Ⅰ组采用一次性微管行无痛人流术,Ⅱ组采用米非司酮片150mg及米索前列醇片0.6mg终止妊娠术,Ⅲ组采取传统负压吸引术,观察至孕囊排出,记录3组的疼痛、出血、完全流产情况。结果Ⅰ组无痛率95.56%、Ⅱ组无痛率24.42%,Ⅲ组14.29%,出血时间和术后并发症Ⅰ组明显少于Ⅱ和Ⅲ组,3组患者的无痛率、出血时间以及并发症经比较(P<0.05),差异有统计学意义。结论微管无痛人流术既解决了受术者肉体的痛苦,手术安全,又避免了药流后阴道流血时间长的缺点,值得推广。

Objective To observe the clinical comparision of different induces abortion during termination early pregnancy.Methods Pregnancies with volunteer termination in the beginning were randomly divided into Ⅰ、Ⅱ、Ⅲ three groups.InⅠgroup we selected disposable microtubule to operare analyesia induced abortion,Ⅱ group we treated by Mifepristone tablet 150mg and Misoprostol tablet 0.6mg to terminate pregnancy,Ⅲ group we selected traditional vacuum suction.We observed gestational sac excreted and write down pain,blood and whether complete about abortion for three groups.Results The rate of painless in groupⅠ95.56%,Ⅱ group24.29%, Ⅲ group14.29%.Blood time and complications after treatment inⅠgroup were significantly lower than those ofⅡandⅢgroup.there were significant differences in the rate of painless,blood time and complicationds in three groups.Conclusion Analgesia induce abortion by microtubule not only solved physical pain of patients and is safe,but also avoid the disadcantage about longtime blood after drug, which is worth of spreading.