不同方案终止中期妊娠的临床效果对比研究(1)
[摘要] 目的 比较不同终止中期妊娠方法的临床效果。 方法 本研究调查对象选用的是我院妇产科中即将要终止中期妊娠的患者，共120例。根据患者自身情况结合医生建议后患者所选用不同的终止妊娠方法，将此120例终止中期妊娠的患者分为A、B、C三组。A组终止中期妊娠患者选用的方法是羊膜腔内穿刺注入利凡诺引产；B组患者选用的方法是口服米非司酮及米索前列醇药物引产；C组患者选用的方法是剖宫产取胎流产，比较三组患者的流产成功率及流产后并发症情况。 结果 C组患者经剖宫产取胎流产后的成功率高于其他两种流产方法，差异显著，得出数据具有统计学意义(P<0.05)；而A、B两组患者的流产成功率比较时，差异无统计学意义。分析三组患者经不同方法流产后的并发症情况得出，A、B两组患者的并发症发生率均显著低于C组，差异具有统计学意义(P<0.05)；而A、B两组间比较时，差异无统计学意义(P>0.05)。 结论 每一种流产方案都具有其独特的优越性和局限性，因此患者在选用流产方案时需要密切结合自身情况和医生的建议，以选择出最适合自己的方案。
[关键词] 终止中期妊娠；利凡诺；米非司酮；米索前列醇；剖宫取胎
[中图分类号] R719.3 [文献标识码] B [文章编号] 2095-0616(2015)14-63-04
Clinical effect of different schemes of midtrimester pregnancy termination
LIANG Shaoya
Department of Obstetrics and Gynecology， Leizhou City People's Hospital， Guangdong， Leizhou 524200， China
[Abstract] Objective To investigate clinical effect of different schemes of midtrimester pregnancy termination. Methods A total of 120 cases which was about to terminate midtrimester pregnancy in department of gynaecology and obstetrics were selected. 120 cases of termination of second trimester pregnancy patients were divided into A， B， C three groups according to the patient's own situation and doctor's suggest. Group A took rivanol，group B took oral mifepristone and misoprostol induction and group C took cesarean section fetal abortion.Abortion success rate and complications between three groups were compared. Results Abortion success rate of group C was higher than that of two groups (P<0.05). Abortion success rate of group A and group B had no significant difference(P>0.05). Complications rate of group A and group B was lower than that of group C(P<0.05). Complications rate of group A and group B had no significant difference(P>0.05). Conclusion Each kind of abortion scheme has its unique advantages and limitations， so patients need to be closely combined with their own conditions and the doctor's advice in the selection of abortion scheme， in order to select the most suitable for their own scheme.
[Key words] Middle pregnancy termination； Rivanol； Mifepristone； Misoprostol； Caesarean section
近年来，由于意外怀孕、母体异常、胎儿发育异常或羊水异常等原因较为多见，因此终止妊娠的发生率有上升趋势。临床中终止妊娠的定义是终止胎儿在母体中的发育和成长过程，并将胎儿、胎盘及胎膜等排出母体[1]。在终止妊娠中，终止早期妊娠所占比例高于终止中期妊娠，而终止中期妊娠较终止早期妊娠的危险系数高，其中早期妊娠指的是妊娠周数在12周以下，而中期妊娠指的是妊娠周数介于12～28周之间[2]。由于终止中期妊娠的并发症较多且患者死亡率较高，因此不宜利用人工流产术，而目前临床中常见的终止中期妊娠的方法主要有三种，包括羊膜腔内穿刺注入利凡诺引产、口服米非司酮及米索前列醇药物引产、剖宫产取胎流产等[3]。本研究为分析不同终止中期妊娠方案的临床效果，将我院的120例中期妊娠患者按其选用不同的流产方法分为三组，分别经三种方法流产后，进而比较三组患者的流产成功率及流产后并发症情况，具体报道如下。, 百拇医药(梁哨雅)
[关键词] 终止中期妊娠；利凡诺；米非司酮；米索前列醇；剖宫取胎
[中图分类号] R719.3 [文献标识码] B [文章编号] 2095-0616(2015)14-63-04
Clinical effect of different schemes of midtrimester pregnancy termination
LIANG Shaoya
Department of Obstetrics and Gynecology， Leizhou City People's Hospital， Guangdong， Leizhou 524200， China
[Abstract] Objective To investigate clinical effect of different schemes of midtrimester pregnancy termination. Methods A total of 120 cases which was about to terminate midtrimester pregnancy in department of gynaecology and obstetrics were selected. 120 cases of termination of second trimester pregnancy patients were divided into A， B， C three groups according to the patient's own situation and doctor's suggest. Group A took rivanol，group B took oral mifepristone and misoprostol induction and group C took cesarean section fetal abortion.Abortion success rate and complications between three groups were compared. Results Abortion success rate of group C was higher than that of two groups (P<0.05). Abortion success rate of group A and group B had no significant difference(P>0.05). Complications rate of group A and group B was lower than that of group C(P<0.05). Complications rate of group A and group B had no significant difference(P>0.05). Conclusion Each kind of abortion scheme has its unique advantages and limitations， so patients need to be closely combined with their own conditions and the doctor's advice in the selection of abortion scheme， in order to select the most suitable for their own scheme.
[Key words] Middle pregnancy termination； Rivanol； Mifepristone； Misoprostol； Caesarean section
近年来，由于意外怀孕、母体异常、胎儿发育异常或羊水异常等原因较为多见，因此终止妊娠的发生率有上升趋势。临床中终止妊娠的定义是终止胎儿在母体中的发育和成长过程，并将胎儿、胎盘及胎膜等排出母体[1]。在终止妊娠中，终止早期妊娠所占比例高于终止中期妊娠，而终止中期妊娠较终止早期妊娠的危险系数高，其中早期妊娠指的是妊娠周数在12周以下，而中期妊娠指的是妊娠周数介于12～28周之间[2]。由于终止中期妊娠的并发症较多且患者死亡率较高，因此不宜利用人工流产术，而目前临床中常见的终止中期妊娠的方法主要有三种，包括羊膜腔内穿刺注入利凡诺引产、口服米非司酮及米索前列醇药物引产、剖宫产取胎流产等[3]。本研究为分析不同终止中期妊娠方案的临床效果，将我院的120例中期妊娠患者按其选用不同的流产方法分为三组，分别经三种方法流产后，进而比较三组患者的流产成功率及流产后并发症情况，具体报道如下。, 百拇医药(梁哨雅)