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目的探讨黄体酮和补佳乐对稽留流产清宫术后宫腔粘连的防治作用。方法选择2012年1月-2014年12月在诸暨市妇幼保健院被诊断为稽留流产行清宫术的患者104例作为研究对象,将其分为黄体酮联合补佳乐组(观察组)和对照组,比较两组患者的术后出血情况、术后腹痛情况、术后月经情况以及术后宫腔粘连情况。结果观察组的术后出血时间低于对照组(P<0.05),出血量少于对照组(P<0.05),轻度疼痛患者所占的比例高于对照组(P<0.05),中度和重度疼痛患者所占的比例均低于对照组(P<0.05),闭经和月经减少患者所占的比例低于对照组(P<0.05),月经正常患者所占的比例高于对照组(P<0.05),月经复潮时间低于对照组(P<0.05),术后宫腔粘连的发生率低于对照组(P<0.05)。结论黄体酮联合补佳乐治疗可以减少稽留流产行清宫术患者的术后出血量和出血时间、减少术后疼痛程度、促进术后月经恢复以及降低术后宫腔粘连的发生率。
Objective To investigate the preventive and therapeutic effects of progesterone and bujiale on uterine adhesions after abortion. Methods A total of 104 patients who were diagnosed as abortion misdiagnosis in Zhuji Maternal and Child Health Hospital from January 2012 to December 2014 were selected as study subjects and divided into progesterone and norepinephrine (observation group) and control Groups were compared postoperative bleeding, postoperative abdominal pain, postoperative menstrual conditions and postoperative intrauterine adhesions. Results The postoperative bleeding time in the observation group was lower than that in the control group (P <0.05), and the bleeding volume was less than that in the control group (P <0.05). The proportion of mild pain patients was higher than that of the control group (P <0.05) (P <0.05). The proportion of patients with amenorrhea and menses reduction was lower than that of the control group (P <0.05), and the proportion of normal menstruation patients was higher than that of the control group P <0.05). The time of menstrual resuscitation was lower than that of the control group (P <0.05). The incidence of postoperative intrauterine adhesions was lower than that of the control group (P <0.05). Conclusions Progesterone plus nadrenol can reduce postoperative bleeding and bleeding time, reduce postoperative pain, promote postoperative menstrual recovery and reduce the incidence of postoperative intrauterine adhesions.