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目的:探讨米非司酮在人工流产术后出血治疗方面的使用价值。方法:选择医院门诊孕6～8周人工流产术后出血超过14天的100例患者随机分为两组,治疗组50例自就诊之日起口服米非司酮25 mg,每日2次,早晚空腹服用,共服3天;红霉素2片,每日2次,共服3天;益母草胶囊或五加生化胶囊4粒,每日3次,共服5天。对照组50例自就诊之日起口服红霉素2片,每日2次,共服3天;益母草胶囊或五加生化胶囊4粒,每日3次,共服5天。结果:治疗组98%患者经治疗阴道出血<7天,有1例患者治疗后阴道出血时间>7天,复诊时B超提示宫内异常回声1.5 cm×1.0 cm×0.6 cm,尿HCG阴性,行二次清宫术。对照组患者治疗后大部分阴道出血减少,80%患者阴道出血<7天,有10例患者治疗后阴道出血>7天,复诊时B超均提示宫内异常回声,有8例患者尿HCG弱阳性,行二次清宫术。结论:米非司酮在人工流产术后不规则出血的治疗具有安全、有效、不良反应小等特点,有较高的临床使用价值。
Objective: To investigate the value of mifepristone in the treatment of hemorrhage after induced abortion. Methods: A total of 100 patients who had been bleeding for more than 14 days after induced abortion were randomly divided into two groups. 50 cases in the treatment group were given mifepristone 25 mg twice daily, Take the fasting morning and evening for a total of 3 days; erythromycin 2 tablets, 2 times a day for a total of 3 days; Motherwort Capsules or five plus biochemical capsules 4 tablets 3 times daily for a total of 5 days. The control group of 50 patients from the date of treatment orally erythromycin 2 tablets, 2 times a day for a total of 3 days; Motherwort Capsules or five plus biochemical capsules 4, 3 times a day for a total of 5 days. Results: In the treatment group, 98% of the patients were treated with vaginal bleeding for less than 7 days. One patient had vaginal bleeding for more than 7 days after treatment. The ultrasonographic abnormal echo of 1.5 cm × 1.0 cm × 0.6 cm at the time of referral showed that the urine HCG was negative, Second curettage. In the control group, the majority of vaginal bleeding was reduced after treatment, vaginal bleeding was less than 7 days in 80%, vaginal bleeding> 10 days after treatment, abnormal intrauterine echo was found at the time of referral, and urine HCG was weak in 8 patients Positive, line second curettage. Conclusion: The treatment of irregular bleeding after mifepristone is safe, effective and has a small adverse reaction. It has a high clinical value.