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目的观察药物流产与无痛人工流产终止早期妊娠的临床效果,探讨损伤轻微、不良反应少、易于临床推广的流产术式。方法按就诊先后顺序将108例符合终止早期妊娠适应证的早孕者(妊娠10周以内者,妊娠超过10周者排除)分为药物流产组(简称药流组)和无痛人工流产组(简称无痛人流组),每组54例,对比观察两组的流产效果。结果无痛流产组完全流产率(100%)、不良反应发生率(5.5%)、阴道出血时间[平均(7±4)d]、月经恢复时间[平均(30±5)d]等方面均明显优势于药流组完全流产率(88.8%)、不良反应发生率(24%)、阴道出血时间[平均(15±9)d]、月经恢复时间[平均(36.6±8.5)d],两组间各观察数据比较差异有统计学意义(P<0.05)。结论无痛人工流产完全流产率高,不良反应少,手术质量高,值得临床研究推广。
Objective To observe the clinical effect of medical abortion and painless induced abortion to terminate early pregnancy, and to explore abortion methods with less damage, less adverse reactions and easy clinical promotion. Methods According to the order of treatment, 108 cases of early pregnant women who meet the indications of termination of early pregnancy (those less than 10 weeks of gestation and more than 10 weeks of gestation excluded) were divided into medical abortion group (abortion group) and painless induced abortion group Pain flow group), each group of 54 cases, compared the abortion effect observed in both groups. Results The rates of complete abortion (100%), adverse reactions (5.5%), vaginal bleeding time [mean (7 ± 4) d] and menstruation recovery time [mean The obvious advantage was the complete abortion rate (88.8%), adverse reaction rate (24%), vaginal bleeding time (15 ± 9 days) and menstruation recovery time (average 36.6 ± 8.5 days) in two groups The differences between the observation data were statistically significant (P <0.05). Conclusion The rate of complete abortion of painless induced abortion is high, with fewer adverse reactions and high quality of operation. It is worth to be popularized clinically.