达英35对人工流产术后子宫内膜及月经周期的保护作用研究.doc

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1、达英35对人工流产术后子宫内膜及月经周期的保护作用研究　　【摘要】目的研究炔雌醇环丙孕酮片对人工流产后子宫内膜及月经周期的保护作用。方法150例自愿要求人工流产终止妊娠的早孕妇女，随机分为实验组和对照组，每组75例。两组患者均接受常规无痛人工流产手术及术后常规护理，对照组术后服用抗生素及八珍益母丸，实验组手术当天开始服用达英35。观察两组术后月�复潮时间和子宫内膜的恢复情况。结果实验组术后月经复潮时间为d、术后21d子宫内膜厚度为mm，均优于对照组的d、mm，差异有统计学意义。实验组术后21d月经

2、复潮率为97.3%，明显高于对照组的73.3%，差异有统计学意义。结论达英35可有效促进人工流产术后子宫内膜的修复，对子宫内膜及月经复潮具有保护作用，值得临床推广。　　【关键词】炔雌醇环丙孕酮片；人工流产；子宫内膜；月经周期；保护作用　　DOI：10.14163/j.cnki.11-5547/r.2017.17.055　　StudyonprotectiveeffectofDiane-35forendometriumandmenstrualcycleafterartificialabortionYA

3、NGJun-xin，ZHANGChuan-ying，WULi-fen，etal.DepartmentofGynaecologyandObstetrics，JilinProvinceFourthPeople’sHospital，Changchun130012，China　　【Abstract】ObjectiveTostudytheprotectiveeffectofethinylestradiolandcyproteroneacetatetabletsforendometriumandmenstru

4、alcycleafterartificialabortion.MethodsAtotalof150earlypregnantwomenwhovoluntarilyrequiringinducedabortiontoterminatethepregnancywererandomlydividedintoexperimentalgroupandcontrolgroup，with75casesineachgroup.Bothgroupsreceivedconventionalpainlessinduce

5、dabortionoperationandpostoperativeroutinenursing，andthecontrolgroupreceivedoralantibioticsandBazhenYimupillsafteroperation.TheexperimentalgroupreceivedoralDiane-35fromthedayofsurgery.Observationweremadeonpostoperativereturnofmenstruationtimeandendomet

6、rialrecoverysituationintwogroups.ResultsTheexperimentalgrouphadpostoperativereturnofmenstruationtimeasdandendometrialthicknessinpostoperative21dasmm，whichwereallbetterthandandmminthecontrolgroup，andtheirdifferencehadstatisticalsignificance.Theexperime

7、ntalgrouphadobviouslyhigherreturnofmenstruationrateinpostoperative21das97.3%than73.3%inthecontrolgroup，andthedifferencehadstatisticalsignificance.ConclusionDiane-35caneffectivelyaccelerateendometrialrepairafterartificialabortion，andithasprotectiveeffe

8、ctforendometriumandreturnofmenstruation.Soitisworthyofclinicalpromotion.　　【Keywords】Ethinylestradiolandcyproteroneacetatetablets；Artificialabortion；Endometrium；Menstrualcycle；Protectiveeffect　　我国每年约有1300万次人工流产发生，重复流产率及短期内再次人工流产率不断上升，这直接导致了人工流产