优思明用于人工流产术后妇女400例临床治疗效果分析

优思明用于人工流产术后妇女400例临床治疗效果分析

杜惠敏

1

朱桂菊

1

杜玉清

2

（1．泰山医学院附属泰山医院妇产科，山东泰安2710002．泰安市妇幼保健院，山东泰安271000）

摘要：目的分析人工流产术后即时服用短效口服避孕药优思明的临床治疗效果。方法将行人工流产术后

妇女800例按术后是否接受服用优思明治疗分为两组，服用优思明治疗者为观察组400例，连服三个周期；未服用者为对照组400例，两组均于术后口服同剂量同种类抗炎及活血化瘀药物治疗。观察两组术后阴道出血量（与自身月经量比较）及出血时间；比较三周后彩超复查的子宫内膜厚度、宫内残留情况及三月内宫颈管粘连发生率。结果观察组阴道出血量少，出血时间短，阴道分泌物少等效果优于对照组（P ＜0．05）；两组子宫内膜厚度差异有统计学意义（P ＜0．05）；观察组宫内残留及宫颈管粘连发生率明显低于对照组（P ＜0．05）；观察组妇女无明显体重增加，药物不良反应轻。结论

除优思明公认的避孕效果外，本研究从不同角度说明优思明应用于人工流产术后妇女对促进

身体健康恢复，

减少人流术后并发症是安全、有效的首选药物。关键词：人工流产术；优思明；减少并发症中图分类号：R719．3

文献标识码：A

文章编号：1004－7115（2012）02－0136－03

doi ：10．3969/j．issn．1004－7115．2012．02．021

Curative effect analysis of 400clinical cases with drospirenone for artificial abortion in women

Du Hui －min 1Zhu Gui －ju 1Du yu －qing 2

（Taian Central Hospital ，Taian Maternal and Child Health －Care Hospital of Shandong Province ，Taian 271000，China ）

Abstract ：Objective ：To assess the clinical value of using oral contraceptive pills Drospirenone ethinyl estradiol tablets in a short －term effect after abortion．Methods ：800women patients who had induced abortion were divided into 2groups ac-cording to whether Drospirenone ethinyl estradiol tabletsor was taken or not．In one group ，400patients taking Drospirenone ethinyl estradiol tabletsfor were observed in three successive medical cycles．The control group was 400women patient with-out Drospirenone ethinyl estradiol tabletsas．Both groups received the same kind of anti －inflammatory and medicines of "Ac-tivating Blood and Resolving Stasis"in the same dose．Their postoperative vaginal blood loss （compared with their own men-strual quantity ）and bleeding time were observed respectively ，and the endometrial thickness ，womb residue and cervical tube adhesion incidence were compared after three weeks．Results ：The treatment group had less vaginal blood loss ，shorter bleeding time and less vaginal secretions than th control group （P ＜0．05）．Difference of endometrial thickness in two groups was statistically significant （P ＜0．05）；Treatment group had less vaginal secretion and incidence of cervical tube adhesion （P ＜0．05）；The observation group women had no significant weight gain ，and little adverse drug reaction．Conclusion ：In addition to significant contraceptive effect ，Drospirenone ethinyl estradiol tablets is a good choice for promoting body recovery and reducing operation complications after induced abortion．

Key words ：artificial abortion ；drospirenone ethinyl estradiol tablets ；reduce complications

6

31泰山医学

院学报

JOURNAL OF TAISHAN MEDICAL COLLEGE Vol.33

No.2

2012

*

作者简介：杜惠敏（1968—），女，山东肥城人，副主任护师，本科，主要从事妇科计生手术工作领域。