目的 探討人工流產(chǎn)后口服避孕藥屈螺酮炔雌醇片對(duì)減少陰道流血量、縮短月經(jīng)恢復(fù)時(shí)間、促進(jìn)子宮內(nèi)膜恢復(fù)的臨床療效。方法 400例人工流產(chǎn)術(shù)后患者隨機(jī)分為治療組和對(duì)照組(n=200),均抗生素治療6 d,治療組加服屈螺酮炔雌醇片,每晚1片,連服21 d;均于術(shù)后第14天B超檢查。結(jié)果 治療組陰道流血平均持續(xù)時(shí)間為(8.46±0.771)d,平均月經(jīng)恢復(fù)時(shí)間(24.84±1.948)d,子宮內(nèi)膜平均厚度(76.15±1.365)mm,對(duì)照組這3項(xiàng)指標(biāo)分別為(6.22±0.911)d、(34.68±1.812)d、(54.09±7.294)mm;治療組周期性腹痛、宮腔粘連、盆腔感染的比例分別為1.58%、0.00%和1.05%,對(duì)照組的分別為5.67%、3.09%和4.64%,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論 人工流產(chǎn)后即時(shí)口服屈螺酮炔雌醇片,除避孕外,還能明顯減少陰道流血量,縮短月經(jīng)恢復(fù)時(shí)間,并促進(jìn)子宮內(nèi)膜修復(fù),減少并發(fā)癥的發(fā)生。

Objective To study the curative effect of oral Drospirenone and Ethinylestradiol Tablet in reducing the amount of vaginal bleeding, shortening menstruation recovery time, and repairing endometria. Methods Four hundred patients after artificial abortion were divided into observation group and control group randomly (n=200). The patients in the two groups were performed postoperative antibiotic treatment for 6 d, the patients in the observation group were orally administered Drospirenone and Ethinylestradiol Tablet on the day of surgery, one tablet every evening, 21 d continuously and B ultrasonic examination was carried out on day 14 after operation. Results The average duration of vaginal bleeding of the patients in the observation group was (8.46±0.771) d. which was more than (6.22±0.911) d in the control group; The average menstruation recovery time of the patients in the observation group was (24.84±1.948) d, which was less than (34.68±1.812) d in the control group; The average endometrial thickness of the patients in the observation group was (76.15±1.365) mm, which was thicker than (54.09±7.294) mm in the control group; The proportions of periodic abdominal pain, intrauterine adhesion, and pelvic infection of the patients in the observation group were 1.58%, 0.00%, and 1.05%, while 5.67%, 3.09%, and 4.64% in the control group. The differences were statistically significant (P<0.05). Conclusion Instant oral Drospirenone and Ethinylestradiol Tablet after artificial abortion can significantly reduce the amount of vaginal bleeding, shorten the menstruation recovery time, promote the endometrium repairment, and reduce the complications.