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目的 :比较人工流产(常规负压吸宫术)与药物流产(米非司酮合并米索前列醇)两种终止早期妊娠方法的临床效果。方法将128例50天以内妊娠的妇女根据自愿以及患者身体状况分成两组,药物流产组105例;人工流产组23例,使用常规人工负压吸宫法。对这两种流产方法的不良反应、流产效果、流产接受性以及流产后阴道出血时间等方面进行比较。结果 :人工流产组的阴道出血持续时间、出血量、流产效果方面要优于药物流产组(P<0.01);药物流产组在呕吐、恶心、腹痛程度、子宫损伤要好于人工流产组。在流产满意度效果方面的调查结果药物流产稍高于人工流产(P>0.05)。结论 :人工流产和药物流产都是有效、安全的终止早期妊娠的方法,各具优缺点,具体选择何种流产方法需要根据孕妇的自身情况选择,尽量避免流产造成的并发症和不良反应。
OBJECTIVE: To compare the clinical effects of abortion (conventional vacuum aspiration) and medical abortion (mifepristone plus misoprostol) in terminating early pregnancy. Methods 128 pregnant women within 50 days of pregnancy were divided into two groups according to their willingness and their physical condition. There were 105 cases of medical abortion group and 23 cases of induced abortion group. Conventional artificial negative pressure suction method was used. Adverse reactions to these two abortion methods, abortion effects, acceptance of abortion and vaginal bleeding after abortion time and other aspects were compared. Results: The duration of vaginal bleeding, bleeding and abortion in induced abortion group were better than those in medical abortion group (P <0.01). The vomiting, nausea, abdominal pain and uterine injury in abortion group were better than those in induced abortion group. The results of the survey on the effect of abortion satisfaction were slightly higher than abortion (P> 0.05). Conclusions: Both abortion and abortion are both effective and safe methods to terminate early pregnancy. Each abortion method has its own advantages and disadvantages. It is necessary to choose which abortion method to choose according to its own circumstances so as to avoid the complications and adverse reactions caused by miscarriage.