探讨无痛人工流产用于终止早期妊娠的临床应用价值

The Clinical Value of the Induced Abortion in the Termination Early Pregnancy

目的:分析总结无痛人工流产用于终止早期妊娠的临床应用价值,为临床推广做出指导。方法:选取本站2010年3月-2013年3月收治的104例自愿终止妊娠的健康孕妇,按照随机数字表法将其分为人工流产组和药物流产组各52例,人工流产组给予无痛人工流产,药物流产组给予米非司酮联合米索前列醇口服,观察比较两组患者治疗后各项指标(阴道出血量、阴道出血时间、月经恢复时间、腹痛持续时间)、治疗后完全流产率以及不良反应发生率。结果:人工流产组治疗后各项指标明显优于药物流产组,差异均有统计学意义(P<0.05);人工流产组完全流产率为98.08%,明显高于药物流产组的80.77%,差异有统计学意义(P<0.05);人工流产组不良反应发生率为11.54%,明显低于药物流产组的36.54%,差异有统计学意义(P<0.05)。结论:无痛人工流产用于终止早期妊娠的临床效果显著,具有操作简单、出血少、完全流产率高、不良反应少等特点,值得广泛应用。

Objective：To observe the application value of the induced abortion used to the early pregnancy for clinical make guidance.Method：One hundred and four healthy pregnant women admitted to our hospital from March 2010 to March 2013 were selected,they were divided into the abortion group and the medical abortion group,52 cases in each group.The abortion group was given induced abortion,the medical abortion group was given Mifepristone Tablets and Misoprostol Tablets,The indexes（the amount of vaginal bleeding,vaginal bleeding time,menstrual recovery time,duration of abdominal pain）,the rate of complete abortion and the incidence of adverse reactions were compared between the two groups after treatment.Result：The abortion group was significantly better than the medical abortion group after treatment,the difference was statistically significant（P〈0.05）;The abortion rate of the abortion group was 98.08%,it was significantly higher than the medical abortion group（80.77%）,the difference was statistically significant （P〈0.05）;the adverse reaction rate of the abortion group was 11.54%,it was significantly lower than the medical abortion group（36.54%）,the difference was statistically significant（P〈0.05）.Conclusion：Painless artificial abortion for termination of early pregnancy clinical effect significantly, has the characteristics of simple operation,less bleeding,complete abortion rate is high,less adverse reaction,and it is worthy of wide application.