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不同剂量米非司酮配伍米索前列醇治疗稽留流产的疗效比较
引用本文:张旭梅,顾珏,柳露. 不同剂量米非司酮配伍米索前列醇治疗稽留流产的疗效比较[J]. 中日友好医院学报, 2011, 0(5): 282-284. DOI: 10.3969/j.issn.1001-0025.2011.05.008
作者姓名:张旭梅  顾珏  柳露
作者单位:云南省昆明市延安医院妇产科,云南昆明,650051
摘    要:目的:观察不同剂量米非司酮配伍米索前列醇对稽留流产的疗效,探讨稽留流产治疗的用药剂量。方法:将560例稽留流产患者依服药剂量分为2组。组1:280例晨起空腹口服米非司酮25mg,2次/d(至少间隔8h),连服3d,共150mg,72h后晨起空腹口服米索前列醇片0.6mg(每次服药前后2h禁食);组2:280例晨起空腹口服米非司酮50mg,2次/d,连服3d,共300mg,米索前列醇片用法同组1。观察2组疗效。考虑2组孕周有差异,故进行〈12孕周和孕12~20周分层分析。结果:2组完全流产率、不全流产率、失败率均无显著性差异(均P〉0.05)。〈12孕周的患者完全流产率、不全流产率、失败率2组比较无显著性差异(均P〉0.05);孕12~20周的患者组1完全流产率、不全流产率和失败率均与组2存在显著性差异(均P〈0.01)。结论:大剂量米非司酮配合米索前列醇治疗孕12~20周稽留流产疗效更好。

关 键 词:米非司酮  米索前列醇  稽留流产

Clinical research on termination of missed abortion by different doses of mifepristone compatible with misoprostol
ZHANG Xu-mei,GU Jue,LIU Lu. Clinical research on termination of missed abortion by different doses of mifepristone compatible with misoprostol[J]. Journal of China-Japan Friendship Hospital, 2011, 0(5): 282-284. DOI: 10.3969/j.issn.1001-0025.2011.05.008
Authors:ZHANG Xu-mei  GU Jue  LIU Lu
Affiliation:ZHANG Xu-mei,GU Jue,LIU Lu Department of Obstetrics & Gynecology,Yunan Yan-an Hospital of Kunming,Kunming 650051,Yunnan,China
Abstract:Objective:To explore the effects of different doses of mifepristone compatible with misoprostol on missed abortion and provide clinical evidence.Methods:Five hundred and sixty patients with missed abortion were divided into 2 groups according to different doses of mifepristone given.Group 1(n=280)were treated by mifepristone at a dose of 25mg,twice a day(eight hours' interval at least)for three days,compatible with misoprostol at a single dose 0.6mg in the fourth morning;Group 2(n=280)were treated by mifepr...
Keywords:mifepristone  misoprostol  missed abortion  
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