药物流产后加服小剂量米非司酮对流产效果和阴道出血时间的影响

为探讨药物流产后加服小剂量米非司酮对加快宫内残留物排出及缩短阴道出血时间的作用 ,将 2 3 5例早孕妇女分为 2组 :实验组 (1 1 6例 )于胎囊排出后即加服米非司酮 5 0mg,对照组 (1 1 9例 )于胎囊排出后不加服米非司酮 ,观察流产效果和阴道出血时间。结果 :实验组完全流产率显著高于对照组 (P <0 .0 5 ) ,平均阴道出血时间显著短于对照组 (P <0 .0 1 ) ,刮宫率显著低于对照组 (P <0 .0 1 )。提示 :米非司酮可使药物流产后宫内残留物尽快排出 ,并有缩短阴道出血时间的作用。

Clinical Effects of Taking Low-dosage Ru486 after Mifepristone Abortion

The study investigated the effects of taking low-dosage of Ru486 in discharging the uterine remnants and shortening vaginal bleeding time after mifepristone abortion. 235 cases of early pregnancy women were divided into tow groups. 116 cases who took 50 mg Ru486 after blastula discharged was the clinical group. The other 119 cases who did not take any Ru486 was the control group.The difference of the rates of complete abortion and the time of vaginal bleeding between two groups was observed. The rate of complete abortion in the clinical group was higher than that in the control group(P<0.01).The vaginal bleeding time of the clinical group was shorter than that of the control group(P<0.01).The rate of D&;C after abortion in the clinical group was significantly lower than that in the control group(P< 0.01). Low-dosage Ru486 can serve to speed up the discharging of uterine remnants to shorten the vaginal bleeding time after mifepristone abortion.