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目的:分析药物流产的观察标准以及主动清宫术并发症的处理。方法:将我院2012年12月-2013年12月接收的行米非司酮联合米索前列醇药物流产的960例患者作为观察组,同期行传统流产的203例为对照组,对比两组患者的治疗效果。结果:对照组见10.3%(21例)行清宫术,观察组为35.9%(345例);对照组的阴道出血时间、盆腔炎发生率以及流产后出血量均明显高于观察组(P<0.05)。结论:药物流产失败或不全者于治疗5h内行主动清宫术治疗,可有效降低阴道出血量与并发症发生率,且痛苦远小于负压吸引流产术,值得推广。
OBJECTIVE: To analyze the observation standard of medical abortion and the treatment of the complication of active hysterisis. Methods: 960 patients receiving mifepristone combined with misoprostol medical abortion from December 2012 to December 2013 in our hospital were selected as the observation group, and 203 cases of traditional abortion in the same period as the control group. Patient’s therapeutic effect. Results: In the control group, curettage was performed in 10.3% (21 cases) and observation group (35.9%, 345 cases). The vaginal bleeding time, the incidence of pelvic inflammatory disease and the amount of bleeding after abortion in the control group were significantly higher than those in the observation group (P < 0.05). Conclusion: Medical abortion failure or incomplete treatment within 5h after active curettage can effectively reduce the incidence of vaginal bleeding and complications, and the pain is much less than vacuum suction abortion, it is worth promoting.