药物流产与人工流产终止早孕的临床比较

    Comparison of medical abortion and vacuum suction abortion in terminating the pregnancy

    • 摘要: 目的:探讨药物流产和负压吸宫术人工流产终止早孕的临床效果、可接受性以及对患者心理状态的影响。方法:对门诊需要终止早孕者采用药物流产及负压吸宫术人工流产(各80例)进行分析比较。结果:人工流产组完全流产率为98.75%,明显高于药物流产组的87.50%(P<0.01),且阴道出血时间也明显短于药物流产组;药物流产组孕妇的紧张度及流产痛苦明显轻于人工流产组,可接受度高于人工流产组,差异有统计学意义(P<0.01);两组孕妇对各自流产方法的满意度差异无统计学意义(P>0.05)。结论:药物流产和负压吸宫术终止早孕各有优缺点。药物流产最大的优点为腹痛轻、不紧张,满意度及可接受度均高,最大缺点为阴道出血时间长,须留院观察;人工流产的最大优点为完全流产率高、阴道出血时间短,最大缺点为腹痛、紧张。二者不能相互取代,只能相互补充。

       

      Abstract: Objective: To compare the effect of medical abortion and vacuum suction abortion in terminating early pregnancy,and to study the acceptability and psychological status of the patients.Methods: One hundred and sixty patients intending to terminate pregnancy were divided into medical abortion group and vacuum suction abortion group.The results were compared and analyzed.Results: The complete abortion rate of vacuum suction abortion group(98.75%) was significantly higher than that of medical abortion group(87.50%),and the bleeding time was shorter than that of medical abortion group.The difference was statistically significant(P<0.01).The degree of tension and suffering in the medical abortion group was significantly lighter than that in the vacuum suction abortion group,and the acceptability degree was higher than that of abortion group.The difference was significant(P<0.01).The satisfaction degree of the two groups had no significant difference(P>0.05).Conclusions: Medical abortion and vacuum suction abortion have their own advantages and disadvantages in terminating early pregnancy.The advantages of medical abortion were lighter pain,no tension,higher acceptability degree and satisfaction,the disadvantages were longer vaginal bleeding and longer hospital stay for observation.The advantages of vacuum suction abortion were higher successful rate of abortion and shorter vaginal bleeding,the disadvantages were severe abdominal pain and tension.They are not replaceble.

       

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