补佳乐配伍安宫黄体酮片在多次人工流产术后患者中的应用效果观察

Clinical observation on the effects of progynova combined with medroxyprogesterone acetate after repeated artificial abortions

目的探讨在多次人工流产术后使用补佳乐配伍安宫黄体酮片的疗效。方法将100例多次人工流产者随机分为观察组与对照组,各50例,两组均常规使用抗生素及产妇安合剂,观察组另加服补佳乐及安宫黄体酮片,观察两组的阴道流血量、阴道流血时间及月经复潮时间、子宫内膜厚度和术后并发症。结果观察组与对照组术后阴道出血时间分别为(4.33±1.43)d和(6.54±2.58)d、月经复潮时间分别为(27.75±3.45)d和(36.78±7.65)d、子宫内膜厚度分别为(6.4±2.4)mm和(4.9±1.5)mm,观察组术后并发症较对照组减少,差异有统计学意义(P<0.05)。结论多次人工流产术后使用补佳乐配伍安宫黄体酮片,对促进子宫内膜恢复、恢复正常的月经周期具有较好的疗效,值得临床推广。

Objective To investigate the effects of combined usage of progynova and medroxyprogesterone acetate after repeated artificial abortions.Methods 100 women received repeated artificial abortions were randomly assigned into the study group and the control group.Women in the control group took traditional antibiotics after artificial abortion,while those in the study group received progynova and medroxyprogesterone acetate plus traditional antibiotics.The amount of vaginal bleeding,bleeding duration,the menstrual recovery time,the endometrial thickness and the severity of post-operative complications were analysed.Results The bleeding duration of the study and the control group is（4.33±1.43） days and（6.54±2.58） days,the menstrual recovery time is（27.75±3.45） days and（36.78±7.65） days,and the endometrial thickness is（6.4±2.4） mm and（4.9±1.5） mm.The post-operative complications is less in the study group than the control group（P〈0.05）.Conclusion Combined usage of progynova and medroxyprogesterone acetate after repeated artificial abortions can promote endometrium regeneration,which is worthy to be extended in clinical practice.