米非司酮对流产术后蜕膜残留的治疗效果

The treatment effect of mifepristone for decidual residue after drug abortion

目的 分析米非司酮在药物流产术后蜕膜残留保守治疗的效果。方法 选取流产术后蜕膜残留患者48例作为研究对象,随机分为观察组与对照组患者各24例。对照组采用蜕膜残留手术清宫法,观察组采用米非司酮治疗,比较两组治疗效果、感染发生率、负面情绪。结果 治疗后阴道流血停止时间、复查超声宫腔内异常回声消失情况、治愈率等差异无统计学意义（P〉0.05）;观察组的感染发生率、疼痛评分、抑郁评分、焦虑评分与对照组差异有统计学意义（P〈0.05）。结论 米非司酮治疗药物流产术后蜕膜残留能减少感染几率,减轻患者的负面情绪。

Objective To analyze the treatment effect of mifepristone on decidual residue after drug abortion.Methods 48 cases with decidual residue of drug induced abortion were selected as the study subjects.They were randomly divided into the observation group and the control group,24 cases in each group.Patients in the control group were given conventional medicine on decidual residue of abortion surgery of curettage of the uterus,the observation group received mifepristone treatment.The therapeutic effect,incidence rate of infection,negative emotions and other variations were compared between the two groups.Results The time of ceasing vagina bleeding,intrauterine echo Doppler abnormalities disappeared and cure rate had no significant differences between the two groups （P〉0.05）.The incidence rate of infection in observation group was lower than the control group（P〈0.05）.The pain score,depression score,anxiety scores in observation group were significantly lower than those of the control group （P〈0.05）.Conclusion Mifepristone in treatment of decidual residue of drug induced abortion can reduce the risk of infections,relieve patients′ negative emotions.