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目的分析比较人工流产与药物流产的临床应用效果。方法选取意外怀孕需进行流产的早期妊娠者80例,随机分为实验组和对照组,每组40例。实验组患者采用米非司酮配伍米索前列醇进行药物流产来终止妊娠,对照组患者采用常规的人工流产负压吸引术来终止早期妊娠,比较分析两组患者的月经恢复时间、阴道流血时间、视觉模拟评分法(VAS)评分以及流产效果等。结果实验组患者的月经恢复时间、阴道出血时间、VAS评分分别为(39.1±7.3)d、(15.8±9.7)d、(7.1±0.2)分,明显高于对照组的(27.9±6.2)d、(7.1±2.5)d、(2.3±0.1)分,两组比较差异具有统计学意义(P<0.05)。实验组患者中,完全流产24例,不全流产10例,流产失败6例,对照组患者的完全流产37例,不全流产3例,流产失败0例。两组患者的流产效果比较差异具有统计学意义(P<0.05)。结论与药物流产相比较,人工流产负压吸引术的临床应用效果较好,流产有效率较高,月经恢复时间以及阴道流血时间较短,值得临床应用进行推广。
Objective To analyze and compare the clinical effects of induced abortion and medical abortion. Methods Eighty pregnant women with unwanted pregnancy requiring abortion were randomly divided into experimental group and control group with 40 cases in each group. Patients in the experimental group were treated with mifepristone and misoprostol for medical abortion to terminate the pregnancy. Patients in the control group were terminated by conventional abortion aspiration, and menstrual recovery time and vaginal bleeding time were compared between the two groups , Visual analogue scale (VAS) score and abortion effects. Results The menstrual recovery time, vaginal bleeding time and VAS score in the experimental group were (39.1 ± 7.3) days, (15.8 ± 9.7) days and (7.1 ± 0.2) points respectively, which were significantly higher than those in the control group (27.9 ± 6.2 days) , (7.1 ± 2.5) d, (2.3 ± 0.1) points respectively. The difference between the two groups was statistically significant (P <0.05). In the experimental group, there were 24 cases of complete abortion, 10 cases of incomplete abortion, 6 cases of abortion failure, 37 cases of complete abortion in control group, 3 cases of incomplete abortion and 0 cases of abortion. Two groups of patients with abortion effect was statistically significant difference (P <0.05). Conclusions Compared with medical abortion, the clinical effect of artificial abortion aspiration is better, the abortion rate is higher, menstruation recovery time and vaginal bleeding time is shorter, so it is worth to be popularized in clinical application.