摘要
目的： 观察小剂量雌孕激素对减少药物流产出血的作用。方法： 将２３６ 例药物流产后宫腔内有少量残留物的患者， 随机分为５ 组： 雌孕激素组、雌激素组、避孕药组、孕激素组及对照组。观察转经时间、出血时间和刮宫率。结果： 与对照组相比， 雌孕激素组的转经时间明显缩短 （ Ｐ＜ ００１） ； 雌孕激素组、雌激素组和避孕药组的出血时间均较对照组明显缩短（ Ｐ＜ ００１） ； 与对照组相比， 雌孕激素组和雌激素组的刮宫率明显降低 （ Ｐ＜ ００１ ， Ｐ＜００５） 。结论： 小剂量雌孕激素可能是缩短药物流产出血时间和降低刮宫率行之有效的方法之一。
Objective:To determine the effects of low dosage estrogen and gestagen on reducing bleeding after medical abortion.Methods:Two hundred and thirty six undergoing patients incomplete medical abortion were randomly allocated into five groups:Group Ⅰ(using estrogen and gestagen),Group Ⅱ(using estrogen alone),Group Ⅲ(using tabellae norgestreli compositae),Group Ⅳ(using gestagen alone) and Group Ⅴ for control.The bleeding time,the time in regain menstruation and the rate of curettage were observed.Results:In comparison with that in Group Ⅴ,the time in regain menstruation in Group Ⅱ was significantly shorter( P <0 01),the bleeding time in Group Ⅰ,Group Ⅱ and Group Ⅲ were greatly shorter( P <0 01),and the rate of curettage in Group Ⅰ and Group Ⅱ were significantly lower( P <0 01, P <0 05).Conclusion:The low dosage estrogen and gestagen may be an effective therapy for reducing bleeding and the rate of curettage after medical abortion.
出处
《中日友好医院学报》
1999年第4期215-218,共4页
Journal of China-Japan Friendship Hospital
