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目的:观察人工流产术后即时口服屈螺酮炔雌醇的临床效果。方法:选择妊娠早期要求行人工流产术92例,随机分为观察组和对照组各46例。两组均在超声监测下行人工流产术,对照组术后即时口服抗生素及新生化颗粒,观察组在对照组治疗的基础上口服屈螺酮炔雌醇治疗3个周期。术后3周、4周、8周、3个月门诊及电话随访,比较两组阴道出血持续时间、术后3周子宫内膜厚度、月经复潮时间,以及较术前月经量增减情况和3个月内重复妊娠情况等。结果:观察组在阴道出血持续时间、术后3周子宫内膜厚度及月经复潮时间改善方面,均显著优于对照组(P<0.05);月经量减少者构成比及3个月内重复妊娠率,均显著低于对照组(P<0.05)。结论:人工流产术后即时口服屈螺酮炔雌醇效果较好,有助于促进子宫内膜修复。
Objective: To observe the clinical effect of oral administration of drospirenone ethinyl estradiol immediately after induced abortion. Methods: Select 92 cases of induced abortion in early pregnancy, were randomly divided into observation group and control group, 46 cases each. The two groups were underwent artificial abortion under ultrasound monitoring. The control group received oral antibiotics and neo-biochemical granules immediately after operation. The observation group was treated with drospirenone ethinyl estradiol for 3 cycles on the basis of the control group. After 3 weeks, 4 weeks, 8 weeks and 3 months follow-up and telephone interviews, the duration of vaginal bleeding, the thickness of endometrium at 3 weeks postoperatively, the time of menstruation and the change of menstrual flow were compared And repeat pregnancy within 3 months and so on. Results: The duration of vaginal bleeding, the endometrial thickness at 3 weeks and the improvement of the menstrual resuscitation time in the observation group were significantly better than those in the control group (P <0.05); the proportion of patients with reduced menstrual flow and repeated within 3 months Pregnancy rates were significantly lower than the control group (P <0.05). Conclusion: Immediate oral administration of drospirenyl ethinyl estradiol is effective after induced abortion, which is helpful to promote endometrial repair.