门诊人工流产手术后应用补佳乐和克龄蒙预防宫腔粘连的临床效果

Clinical Application of Estrogen and Progesterone in Prevention of Intrauterine Adhesions After Artificial Abortion

目的探讨应用补佳乐和克龄蒙预防门诊人工流产手术后宫腔粘连的临床效果。方法选取2016年1-3月于门诊行人工流产手术患者200例,随机分成试验组和对照组,每组100例。两组术后常规抗生素及产妇安口服,试验组加服补佳乐和克龄蒙,比较两组的阴道流血时间、阴道出血量、首次月经复潮时间、宫腔积血率、再次清宫率以及宫腔粘连率。结果对照组术后阴道流血时间、首次月经复潮时间均长于试验组,阴道流血量明显多于试验组,宫腔积血率、再次清宫率、宫腔粘连率均高于试验组,差异均有统计学意义(P<0.05)。结论人工流产手术后应用补佳乐和克龄蒙可缩短阴道流血时间、月经复潮时间,减少阴道流血量,降低宫腔积血率及再次清宫率,降低宫腔粘连发生。

Objective To study the Progynova and Climen in prevention of intrauterine adhension after artificial abortion.Methods Choose 200 cases of patients who had the operation in our hospital from January 2016 to March 2016.The patients were randomly divided into two groups,the experimental group and the control group,each group has 100 patients.Both groups are given conventional antibiotics and maternal postoperative for oral administration.The test group was immediately given Progynova and Climen after the operation.Follow-up the length of vaginal bleeding,the amount of vaginal bleeding,the first menstruation after the operation,the uterine cavity hemorrhage rate and the rate of re-operation,the rate of intrauterine adhesions.Results The length of vaginal bleeding and the amount of vaginal bleeding in control group are longer than the test group（P〈0.05）.The rate of uterine hemorrhage in the control group was higher than that in the test group（P〈0.05）.Conclusion Estrogen and progesterone could prevent the rate of intrauterine adhesions,short the length of vaginal bleeding time,reduce the amount of vaginal bleeding,reduce the rate of uterine hemorrhage,the re-operation rate and the intrauterine adhesions.