米非司酮配伍米索前列醇药物流产的临床分析

目的：观察米非司酮配伍米索前列醇药物流产的疗效。方法：对我院2009年至2010年收治的药物流产患者150例，口服50mg米非司酮片总量150mg，口服米索前列醇600μg。门诊观察6小时，记录有无胎囊及其排出时间，胎囊大小和出血量。结果：停经≤49天，150例患者完全流产142例，占94．67％；不全流产率为7例，占4．67％；失败率为1例，占0．67％。用药后出现恶心、腹痛各1例，分别占0．67％。均可耐受，没有单独用药。结论：小剂量口服米非司酮配伍米索前列醇终止早期妊娠，具有安全高效、操作简单、给患者带来的痛苦小，可在临床上广泛使用。

Mifepristone and misoprostol for medical abortion clinical analysis

Objective：To observe the mifepristone and misoprostol for medical abortion efficacy. Methods：From 2009 to 2010 patients admitted to medical abortion, 150 eases of oral mifepristone tablets 50mg total 150mg, oral misoprostol 600μg. Outpatient observation of 6 hours, record whether the fetal sac and discharge time, sac size and the amount of bleeding. Results： Menopause ≤ 49 days, 150 patients were 142 cases of complete abortion, accounting for 94.67 % ; incomplete abortion rate of 7 cases, accounting for 4.67% ; failure rate of 1 case, accounting for 0.67%. After treatment of nausea, abdominal pain in 1 case, respectively, accounting for 0.67 %. Can be tolerated, no drug alone. Conclusion：Low dose mifepristone and misoprostol to terminate early pregnancy, with a safe and efficient, simple, to the patient＇s pain, can be widely used in clinical practice.