药物流产后服用左炔诺孕酮炔雌醇避孕药的临床观察

目的：观察药物流产后服用左炔诺孕酮炔雌醇避孕药（商品名：特居乐）的疗效。方法：药物流产者452例,分为观察组（202例）和对照组（250例）,观察组自孕囊排出日始每晚睡前服特居乐1片,21天后停药;对照组流产后不服用避孕药,均在流产后第1,2,3周及月经来潮后随访4次,观察药物流产后阴道流血时间、流血量及月经恢复情况等。结果：观察组和对照组药物流产后阴道流血量为月经量1～2倍者分别占58.2%、87.8%,少于月经量者分别占34.3%、6.1%,两组比较差异有统计学意义（P〈0.01）。观察组月经恢复时间为25.8±2.5天,对照组为34.5±5.6天,两组比较差异有统计学意义（t=20.42,P〈0.01）,且观察组无重复妊娠流产发生。结论：药物流产后及时正规使用特居乐具有减少阴道流血量、促进月经恢复等优点,缩短了观察药物流产结局的时间,减轻了受术者的心理负担,同时可有效避孕,避免重复流产。

Clinical Observation on Taking Levonorgestel and Ethinglestradiol Tablets after Medical Abortion

Objective: To observe the curative effects of levonorgestel and ethinglestradiol tablets(trade name: Triquilar) after medical abortion.Methods: 452 patients with medical abortion were divided into two groups: the observation group(202 cases) and the control group(250 cases).The women in the observation group were administered a piece of triquilar every night for 21 days since embryo sac was out,while the control group was administered no drugs.All objects were followed-up for 4 times(the first,second and th...