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目的研究综合性防治对药物流产后阴道流血的影响。方法选择2011—2012年于峨山县人民医院接受药物流产,孕龄在70d以内的早孕妇女120例。对孕囊平均直径≤2.5cm者,药物流产后给予预防感染、止血和定期随访;对孕囊平均直径>2.5cm者,药物流产后常规清宫后给予预防感染、止血和定期随访。结果药物流产后8d随访,55例(45.8%)无阴道流血,有41例清宫;流血较多或残留组织(最大)直径>1.0cm者41例(34.2%),其余24例(20.0%)。药物流产后16d随访,117例(97.5%)无阴道流血,3例(2.5%)仍有阴道流血。30d随访时,全部无阴道流血,无妇科感染者。结论药物流产后及时进行综合性防治可缩短阴道流血时间、降低妇科感染率。
Objective To study the effect of comprehensive prevention and control on vaginal bleeding after medical abortion. Methods A total of 120 pregnant women aged from 70 days to 2011 who were admitted to Eshan People’s Hospital from 2011 to 2012 were selected. The average gestational sac diameter ≤ 2.5cm were given after drug abortion prevent infection, hemostasis and regular follow-up; the average diameter of gestational sac> 2.5cm, post-abortion routine curettage given preventive infection, bleeding and regular follow-up. Results After medical abortion 8 days follow-up, 55 cases (45.8%) had no vaginal bleeding and 41 cases had clear palace. The remaining 24 cases (20.0%) were 41 cases (34.2%) with more bleeding or residual tissue . At 16 days after drug abortion, there were no vaginal bleeding in 117 cases (97.5%) and vaginal bleeding in 3 cases (2.5%). 30d follow-up, all without vaginal bleeding, no gynecological infection. Conclusion timely medical comprehensive medical control can reduce vaginal bleeding time, reduce the rate of gynecological infection.