穿心莲片辅助药物流产的临床观察

Clinical Observation on Assistant Function of Chuanxinlian(Green Chiretta) Tablets to Medication Abortion

目的 加强药物流产的效果。方法 把 2 83例停经 5 0天内的早孕妇女分成治疗组A、B及对照组C3组进行药物流产 ,从第一天晚 9时起 ,每 12h空腹服米非司酮 2 5mg ,共 6次 ,第 6次药时加服米索前列醇 6 0 0 μg。治疗组于服药第 1天起加服穿心莲片 ,A组每次 10片 ,B组每次 6片 ,均每天 3次 ,连服 5d。结果 完全流产率治疗组A92 17% ,治疗组B89 6 2 % ,对照组C88 71% ,3组之间的差别不具有显著性的意义 (P >0 0 5 )。治疗组A出血量少于对照组 ,两组之间的差别具有显著性的意义 (P <0 0 5 ) ,治疗组B与对照组之间、两治疗组之间的差别不具有显著性的意义 (P >0 0 5 )。出血时间治疗组A(11 4 1± 4 5 1)短于对照组 (13 0 4± 4 5 4 ) ,2组之间的差别具有显著性的意义 (P <0 0 5 ) ,治疗组B(11 98± 4 36 )与对照组之间的差别不具有显著性的意义 (P >0 0 5 )。结论 穿心莲片可缩短米非司酮药物流产的出血时间 ,减少出血量。

Objective:Strengthen the effects of medication abortion.Method:divide 283 cases of pregnant women within 50 days into treating groups A,B and control group C for medication abortion.From 9 pm in the first day,they took 25 mg of Mifepristone once every 12 hours for 6 times.In the sixth time add 600μg of Misuoqianliechun.Chuanxinlian tablets were added for the treating groups from the first day,10 tablets of Chuanxinlian for group A,6 tablets of Chuanxinlian for group B,3 times a day for 5 days. The result: The complete abortion rate in treating group A was 92.17%, 89.62% in treating group B, and 88.71% in control group C.There was no significant difference in three groups(P>0.05).The amount of bleeding in the treating group A is less than the control group.There was significant difference between two groups(P>0.05).There was no significant difference between the treating group B and control group (P>0.05).The bleeding time in the treating group A(11.41+(-)4.51)is shorten than it in the control group(13.04+(-)4.54).There was signifcant difference betwween the two groups (P < 0.05) . The difference between the treating group B and the control group is not so significant (P>0.05).Result:Chuanxinlian tablets can be used to shorten the bleeding time,reduce the amount of bleeding in medication abortion with Mifepristone.