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目的:评价依沙吖啶用作中期妊娠引产中米非司酮的作用。方法:按双盲对照法,用药组30例,年龄25.0±s2.0a,孕周20±3wk,给米非司酮200mg,po,qd,对照组30例,年龄25±3a,孕周20±4wk用维生素C(安慰剂),2组所用药品外形相同,皆qd×2次,2组用药后立即羊膜腔注射依沙吖啶0.1g待产。结果:用药组引产时间43±13h明显短于对照组58±14h,P<0.01;2组孕妇2d内引产成功率分别为83%和60%,P<0.05;未见用药组产后出血量增加,P>0.05,不良反应有恶心,阴道出血,仅1例有严重腹痛。结论:米非司酮可以明显缩短依沙吖啶的中期妊娠引产时间。
Objective: To evaluate the role of ethacridine in the induction of mifepristone in mid-term pregnancy. Methods: According to the double-blind control method, 30 patients (age 25.0 ± s2.0a, gestational weeks 20 ± 3wk) were treated with mifepristone 200mg, po, qd, control group 30 cases, age 25 ± 3a, Week 20 ± 4wk with vitamin C (placebo), two groups of drugs used the same shape, all qd × 2, 2 groups immediately after administration of amniotic fluid injection of ethacridine 0.1g to be produced. Results: The induction time of 43 ± 13h was significantly shorter in the treatment group than that in the control group (58 ± 14h, P <0.01). The success rates of induction of labor in the two groups were 83% and 60%, respectively, within 2 days Postpartum hemorrhage increased, P> 0.05, adverse reactions were nausea, vaginal bleeding, only 1 case had severe abdominal pain. Conclusion: Mifepristone can obviously shorten the induction of labor in the second trimester of Ethacridine.