护理干预在米非司酮配伍米索前列醇片终止早中期妊娠减少并发症中的效果

Nursing intervention mifepristone and misoprostol to terminate early and mid-pregnancy sheet effect of reducing complications

目的研究CNI护理减少MEP终止妊娠患者并发症的临床效果。方法将本院2013年3月至2015年3月间收治的134例MEP终止妊娠患者作为观察对象,按时间顺序分入OBG组（66例）和COG组（68例）,分别给CNI护理和常规护理,统计并发症情况进行分析比对。结果 OBG组66例患者在阴道出血时间（χ^2=6.079,P=0.0149）、出血量（χ^2=6.450,P=0.011）、月经复潮时间（χ^2=5.600,P=0.018）和不良反应（χ^2=9.172,P=0.002）上显著优于COG组,存在显著差异,具有统计学意义,P〈0.05。OBG组66例患者中完全流产未清宫38例（57.58%）,完全流产清宫23例（34.85%）,无效2例（3.03%）,流产成功率96.97%,COG组流产成功率85.29%,两组差异有统计学意义,P〈0.05。结论对米非司酮和米索前列醇片合用终止妊娠的MEP患者给予CNI护理,能显著减少临床不良反应,出血量低,患者痛苦小,值得推广借鉴。

Objective To study the clinical effect of reducing CNI nursing complications MEP patients.Methods Methods 134 patients with MEP treated in our hospital from March 2013 to March 2015 were selected as observation objects,chronologically divided into OBG（66 patients） group and COG（68 cases） groups,respectively,to the CNI care and regular care,complications were analyzed statistical comparison.Results OBG group of 66 patients in bleeding time（χ^2= 8.562,P = 0.019）,bleeding（χ^2= 9.025,P = 0.014）,Menstruation time（χ^2= 8.747,P = 0.026） and adverse reactions（χ^2= 8.637,P = 0.009） was significantly better than the COG group,there were significant differences,statistically significant,P〈0.05.OBG group of 66 patients in complete abortion was not curettage 41（62.12%,χ^2= 8.562,P = 0.035） cases,complete abortion curettage 23（34.85%,χ^2= 8.935,P = 0.024） cases of incomplete abortion 3（4.55%,χ^2= 9.025,P = 0.015） cases,2（3.03%,χ^2= 9.365,P = 0.012） cases,successful abortion 64（96.97%,χ^2= 8.747,P = 0.009） cases,P〈0.05.Conclusions The combination of mifepristone and misoprostol tablets termination of pregnancy MEP treated with CNI care can significantly reduce clinical adverse reactions,lower blood loss,less pain for patients,which is worthy of reference.