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目的:观察米菲司酮配伍卡孕栓阴道后穹隆放置引产的临床效果。方法:选择阳明街道卫生院2007年1月-2010年12月妊娠13～16周住院引产妇女120例,随机分为观察组和对照组,每组60例。观察组采用米菲司酮300mg分次服用联合卡孕栓1mg阴道后穹隆放置引产;对照组采用依沙吖啶羊膜腔注射引产,观察两组引产效果和并发症发生率。结果:观察组在引流产时间、产后出血量、胎盘胎膜残留率、软产道损伤等方面明显低于对照组(P值<0.01),引产成功率观察组高于对照组且差异有统计学意义(P值<0.05),流产后出血时间差异无统计学意义(P值>0.05)。结论:终止13～16周妊娠以米菲司酮配伍卡孕栓阴道后穹隆放置引产方法操作方便、安全、有效。
Objective: To observe the clinical effect of vaginal infusion of captopril in combination with carboplatin suppository. Methods: 120 cases of induced abortion in 13 to 16 weeks of gestation from January 2007 to December 2010 in Yangming Street Hospital were randomly divided into observation group and control group, with 60 cases in each group. The observation group was given mifepristone 300mg subcutaneously combined with carboplatin 1mg vaginal vaginal fornication; control group using amniotic fluid injection of amniotic fluid induced abortion, the two groups observed the effect of induction of labor and the incidence of complications. Results: The observation group was significantly lower than the control group in the drainage time, the amount of postpartum hemorrhage, the residual rate of fetal membranes and the injury of soft birth canal in the observation group (P <0.01). The success rate of induction group was higher in the observation group than in the control group Significance (P <0.05), bleeding time after abortion no significant difference (P value> 0.05). Conclusion: It is convenient, safe and effective to terminate induction of vaginal vaginal fornix vaginitis after compatibility with captopril and mifepristone in the period of 13-16 weeks.