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目的:观察人工流产术后即刻口服屈螺酮炔雌醇片的疗效。方法:早孕并行人工流产的患者198例随机分成观察组和对照组,每组99例。两组患者术后均常规口服产后逐瘀胶囊0.9 g,po,tid,疗程7 d,头孢克肟胶囊0.1 g,po,bid,疗程3d。观察组在此基础上于术后当天给予屈螺酮炔雌醇片1片,po,qd,连服21 d。观察两组患者人工流产术后阴道流血时间、月经恢复时间、转经前发生的重复流产率和术后2周B超检查宫内残留情况。结果:观察组阴道流血时间和月经恢复时间明显短于对照组,转经前发生的重复流产率和宫内残留发生率也明显低于对照组(P<0.05)。结论:人工流产术后即刻口服屈螺酮炔雌醇片,可以有效降低人流后的术后并发症,且可以有效避孕。
Objective: To observe the curative effect of oral administration of drospirenone ethinyl estradiol immediately after induced abortion. Methods: 198 cases of abortion with early pregnancy were randomly divided into observation group and control group, with 99 cases in each group. Two groups of patients were routine oral administration of postpartum Zhuyu capsule 0.9 g, po, tid, course of treatment 7 d, cefixime capsules 0.1 g, po, bid, course of treatment 3d. On the basis of the observation group, on the day after the operation, the patients were given 1 dose of drospirenone ethinyl estradiol, po and qd for 21 days. The vaginal bleeding time, menstruation recovery time, repeated abortion rate before the operation and postoperative B-ultrasound examination of intrauterine residue in two groups were observed. Results: The vaginal bleeding time and menstruation recovery time in the observation group were significantly shorter than those in the control group. The incidences of repeat abortion and intrauterine residuals in the observation group were also significantly lower than those in the control group (P <0.05). Conclusion: Immediate administration of drospirenone ethinyl estradiol tablets after induced abortion can effectively reduce the postoperative complications after abortion, and can effectively contraceptive.