摘要
目的观察人工周期调经方法治疗流产不全临床疗效，为流产不全特别是仅有少量组织残留的不全流产提供一条新的治疗方案。方法选择2014年1月-2016年3月我院收治的260例临床诊断为流产不全患者作为研究对象，并将其随机分为实验组和对照组，每组130例。对照组予清宫术治疗，实验组予以补佳乐及黄体酮治疗，而后对比分析人工周期调经法治疗药物流产不全的临床疗效。结果实验组患者阴道出血时间、月经复潮时间较对照组明显缩短（P〈0．05），阴道出血量较对照组少（P〈0．05）；实验组患者治疗第7、14天的血β—hCG值水平明显低于对照组（P〈0．05）；实验组PSV、EDV水平较对照组显著降低（P〈0．05），而RI以及PI水平则明显升高（P〈0．05）。实验组患者盆腔炎、宫腔粘连、恶心呕吐等并发症的发生率显著低于对照组（P〈0．05）。结论采取人工周期调经的方式对流产不全实施治疗的临床效果显著，安全性高，可缩短阴道出血时间、月经复潮时间，减少阴道出血量，临床价值显著，值得关注并推广。
Objective To observe the clinical effect of artificial menstrual cycle regulating method in the treatment of incomplete abortion and provide a new treatment for incomplete abortion,especially for incomplete abortion with a small amount of tissue residues.Methods 260 cases of clinically diagnosed incomplete abortion patients from January 2014 to March 2016 in our hospital were selected as research subjects and randomly divided into experimental group and control group,with 130 cases in each group.Patients in the control group were used curettage treatment,while patients in the experimental group were used progynova and progesterone treatment,and the clinical efficacy of artificial menstruation cycle regulation in treatment of patients with incomplete abortion was conopared. Results The duration of vaginal bleeding and menstruation recovery in the experimental group were significantly shorter than those in the control group （P〈0.05）,and the vaginal bleeding volume was less than that in the control group （P〈0.05）;After the 7th and 14th d treatment,blood β-hCG levels in the experimental group were significantly lower than those in the control group （P〈0.05）; The levels of PSV and PDV in the experimental group were significantly lower than those in the control group,while the levels of RI and PI were significantly higher,PSV,PDV,RI,PI indicators in the experimental group were significant difference than those in the control group （P〈0.05）.The incidence rates of pelvic inflammation,intrauterine adhesions,nausea and vomiting in the experimental group were significantly lower than those in the control group （P〈0.05）.Conclusiou The effect of artificial menstrual cycle regulation applied in incomplete abortion is significant and highly safe.It can shorten the duration of vaginal bleeding time and menstruation recovery reduce the vaginal bleeding volume.The clinical value is significant and it is worth attention and promotion.
出处
《中国当代医药》
2016年第21期88-90,共3页
China Modern Medicine
基金
广东省珠海市医学科研课题立项项目(2016J002)
关键词
人工周期调经
流产不全
清宫术
临床价值
Artificial menstrual cycle regulation
Incomplete abortion
Uterine curettage
Clinical value
