复方口服避孕药(COC)在稽留流产患者中的应用

摘要

目的 研究分析复方口服避孕药(COC)在稽留流产患者术后的应用效果.方法 选取2016年3月～2017年3月于上海市长宁区妇幼保健院就诊的稽留流产600例,采用数字随机法,均分为观察组(n=300)与对照组(n=300),观察组患者给予复方口服避孕药治疗,对照组患者给予常规治疗,对比2组患者的治疗效果.结果 观察组患者的阴道流血时间、月经恢复时间显著短于对照组(P<0.05),子宫内膜厚度显著大于对照组(P<0.05),宫内残留发生率、宫颈宫腔粘连率、盆腔感染率显著少于对照组( P <0.05);2组患者的术后3月体质量变化、阴道出血量对比差异无统计学意义.结论 在稽留流产患者清宫术后应用复方口服避孕药治疗,有利于缩短阴道流血时间,减少阴道流血量,降低术后并发症发生率,促进患者术后月经恢复正常.%Objective To study the compound oral contraceptives(COC)application in patients with missed abortion after.Methods 600 cases of missed abortion from March 2016～2017 year in March in our hospital,were randomly divided into observation group(n=300)and control group(n=300),the observation group was treated with compound oral contraceptive therapy,the control group were given routine treatment,compared two groups of patients.Results The observation group of patients with vaginal bleeding time,menstrual recovery time was significantly shorter than the control group(P<0.05),endometrial thickness was significantly greater than the control group(P<0.05),the incidence of Intrauterine Residue and uterine cavity adhesion rate,pelvic infection rate was significantly lower than the control group(P<0.05); the two groups of patients with postoperative weight change in March the amount of vaginal bleeding,compared no significant difference,no statistical significance.Conclusion The application of compound oral contraceptives in the treatment of missed abortion patients after curettage,shorten the time of vaginal bleeding,reduce the amount of vaginal bleeding,reduce the incidence of postoperative complications and promote postoperative recovery of menses.