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目的探讨戊酸雌二醇在中期引产中的应用。方法选择年龄20~35岁健康无引产禁忌证及胎龄13~27周;肝肾功能正常;计划外妊娠;无利凡诺及补佳乐用药禁忌初产女性31例,给予利凡诺100mg+无菌水10ml于超声监测下注入羊膜腔,同时开始口服补佳乐5mg*3/日。同时选择既往在住院单纯给予利凡诺引产病历30例。比较两组在胎儿娩出时间,胎盘娩出时间,阴道流血量及乳涨程度差异。结果戊酸雌二醇联合利凡诺组在胎儿娩出时间、胎盘娩出时间、胎盘及胎膜完整性、流产后出血量、乳涨情况等方面均优于单用利凡诺组。结论戊酸雌二醇应用可缩短胎儿娩出时间,减少阴道出血量,提高完全流产率,减轻患者乳涨,提高引产成功率。
Objective To explore the application of estradiol valerate in mid-term induction of labor. Methods A total of 31 women with contraindications of prenatal levofloxacin and triptorelin were enrolled in this study. All patients were given rivanol 100mg + Sterile water 10ml under ultrasound monitoring into the amniotic cavity, while oral gavage 5mg * 3 / day. At the same time select the past in the hospital simply given Ricane Nursing 30 cases. The differences between the two groups in the time of delivery of the fetus, the time of delivery of the placenta, the amount of bleeding in the vagina and the degree of breast-feeding were compared. Results The combination of estradiol valerate and rivanol group was superior to rivanol group only in the time of delivery, the time of delivery of the placenta, the integrity of the placenta and fetal membranes, the amount of bleeding after abortion, and the condition of lactation. Conclusion The application of estradiol valerate can shorten the delivery time of fetus, reduce the amount of vaginal bleeding, improve the rate of complete abortion, reduce the patient’s milk up, and increase the success rate of induction of labor.