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目的:观察屈螺酮炔雌醇治疗人工流产术后阴道出血及月经不调的临床效果。方法:选择平湖市中医院2018年1-6月收治的人工流产术后阴道出血及月经不调患者540例为观察对象，采用随机数字表法分为对照组、观察组，各270例，对照组采用常规治疗，观察组在常规治疗基础上采用屈螺酮炔雌醇治疗。观察两组患者的临床效果、阴道出血时间、月经复潮时间、月经情况、不良反应发生情况。结果:观察组总有效率(97.04%，262/270)、月经正常比例(90.74%，245/270)均显著高于对照组(81.48%，220/270；74.07%，200/270)，差异均有统计学意义(χn 2＝34.074、25.866，均n P<0.05)；观察组阴道出血时间、月经复潮时间分别为(3.79±1.11)d、(24.07±4.23)d，均短于对照组的(5.88±1.40)d、(31.36±5.38)d，差异均有统计学意义(n t＝19.222、17.503，均n P0.05)。n 结论:屈螺酮炔雌醇治疗人工流产术后阴道出血及月经不调，临床效果显著，可显著改善阴道流血症状，缩短月经复潮时间，且具有较高的安全性。“,”Objective:To observe the clinical effect of drospirone ethinylestradiol (Yasmin) in the treatment of vaginal bleeding and irregular menstruation after induced abortion.Methods:From January 2018 to June 2018, 540 patients with vaginal bleeding and irregular menstruation after induced abortion treated in Pinghu Hospital of Traditional Chinese Medicine were selected and divided into two groups according to the random digital table method, with 270 cases in each group.The control group was treated with routine treatment, while the observation group was treated with Yasmin on the basis of routine treatment.The clinical effects, vaginal bleeding time, menstrual rehydration time, menstrual status and adverse reactions of the two groups were observed.Results:The total effective rate (97.04%, 262/270), normal menstruation rate (90.74%, 245/270) in the observation group were significantly higher than those in the control group (81.48%, 220/270; 74.07%, 200/270), the differences were statistically significant (χn 2=34.074, 25.866, all n P<0.05). The time of vaginal bleeding and menstrual reactivation in the observation group were (3.79±1.11)d and (24.07±4.23)d, respectively, which were significantly shorter than those in the control group [(5.88±1.40)d and (31.36±5.38)d] (n t=19.222, 17.503, all n P0.05).n Conclusion:Yasmin is effective in treating vaginal bleeding and irregular menstruation after induced abortion.It can significantly improve the condition of vaginal bleeding, shorten the time of menstruation and has high safety.