摘要
目的:探讨依沙吖啶配伍米非司酮在瘢痕子宫引产中的应用价值。方法:收治瘢痕子宫妊娠引产孕妇120例,随机分为观察组与对照组,对照组应用依沙吖啶,观察组应用米非司酮联合依沙吖啶,比较两组的宫缩发动时间、产程、出血量及引产成功率。结果:观察组的引产成功率98.33%,对照组91.67%,两组差异无统计学意义(P>0.05);观察组产后出血量、用药至分娩时间、总产程、产后胎盘胎膜残留、软产道损伤、清宫比例低于对照组(P<0.05)。结论:米非司酮联合羊膜腔内依沙吖啶注射引产对于瘢痕子宫患者具有较高的简便性、高效性、安全性等,引产后清宫率低,临床应用价值高。
Objective:To explore the application value of ethacridine combined with mifepristone in the odinopoeia of uterine scar.Methods:120 uterine scar pregnant women with odinopoeia were selected.They were randomly divided into the observation group and the control group.The control group was given ethacridine,and the observation group was given mifepristone combined with ethacridine.We compared the contractions start time,birth process,bleeding amount and abortion success rate of the two groups.Results:In the observation group,the abortion success rate was 98.33% ,and the control group was 91.67% ,with no statistically significant difference(P>0.05).In the observation group,the amount of postpartum hemorrhage,time from medication to delivery,the total labor,postpartum retained placenta and membranes,injury of soft birth canal,proportion of curettage were lower than those in the control group(P<0.05).Conclusion:Mifepristone combined with amniotic cavity injection of ethacridine for odinopoeia for uterine scar pregnant women had advantages of simplicity,efficiency,security.The proportion of curettage after odinopoeia was low,and the clinical application value was high.
作者
董晓鸽
Dong Xiaoge(Obstetrics and Gynecology Department,the Traditional Chinese Medicine Hospital of Yanshi City,Luoyang City,Henan Province 471900)
出处
《中国社区医师》
2016年第4期61-62,共2页
Chinese Community Doctors
关键词
瘢痕子宫
妊娠
引产
米非司酮
依沙吖啶
Uterine scar
Pregnancy
Odinopoeia
Mifepristone
Ethacridine
