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阿曼一家三级护理中心患者对于孕早期(孕12周内)妊娠丢失处理中选择药物流产或手术流产的偏好趋势

Trends of Patients' Preferences in the Management of First and Early Second Trimester Pregnancy Loss Towards the Choice of Medical or Surgical Termination of Pregnancy in a Tertiary Care Center in Oman.

作者信息

Al-Dughaishi Tamima, Al-Jabri Mussab Mubarak Hamed, Al-Haddabi Amjad Hamed, Gowri Vaidyanathan

机构信息

- Sultan Qaboos University and Hospital, Muscat, Oman.

出版信息

J Reprod Infertil. 2019 Jan-Mar;20(1):52-56.

PMID:30859082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6386795/
Abstract

BACKGROUND

This study aimed to find out the patients preference towards the management of pregnancy loss to either Misoprostol or dilatation and evacuation or curettage (D&C) in two different study periods.

METHODS

Retrospective chart review study included a total of 411 patients. The first study period was January to December 2010 and the second study period was January to December 2014. All patients were managed in Sultan Qaboos University Hospital of Oman.

RESULTS

Misoprostol was more preferable than dilatation and curettage D&C in both 2010 and 2014, with percentages of 79.30% and 69.57%, respectively. There was a slight increase in the preference toward D&C in 2014. There was a slight increase in the preference toward D&C with older age group as well as in patients with history of miscarriages.

CONCLUSION

In comparison between 2010 and 2014 data, there was no significant change in patients' preference. There was a slight increase in the preference toward D&C in the older age group and in patients with previous history of abortion in both years.

摘要

背景

本研究旨在了解在两个不同研究时间段内,患者对于米索前列醇、扩张刮宫术(D&C)治疗流产的偏好。

方法

回顾性病历审查研究共纳入411例患者。第一个研究时间段为2010年1月至12月,第二个研究时间段为2014年1月至12月。所有患者均在阿曼苏丹卡布斯大学医院接受治疗。

结果

2010年和2014年,米索前列醇均比扩张刮宫术更受青睐,其比例分别为79.30%和69.57%。2014年对扩张刮宫术的偏好略有增加。年龄较大的患者群体以及有流产史的患者对扩张刮宫术的偏好也略有增加。

结论

对比2010年和2014年的数据,患者的偏好没有显著变化。在这两年中,年龄较大的患者群体以及有流产史的患者对扩张刮宫术的偏好均略有增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/879b/6386795/c17c6931a5db/JRI-20-52-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/879b/6386795/c7f85348f03a/JRI-20-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/879b/6386795/c17c6931a5db/JRI-20-52-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/879b/6386795/c7f85348f03a/JRI-20-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/879b/6386795/c17c6931a5db/JRI-20-52-g002.jpg

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Trends of Patients' Preferences in the Management of First and Early Second Trimester Pregnancy Loss Towards the Choice of Medical or Surgical Termination of Pregnancy in a Tertiary Care Center in Oman.阿曼一家三级护理中心患者对于孕早期(孕12周内)妊娠丢失处理中选择药物流产或手术流产的偏好趋势
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本文引用的文献

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MisoREST: surgical versus expectant management in women with an incomplete evacuation of the uterus after misoprostol treatment for miscarriage: a randomized controlled trial.米索前列醇治疗流产后宫内残留妇女的手术治疗与期待治疗对比:一项随机对照试验(MisoREST)
Hum Reprod. 2016 Nov;31(11):2421-2427. doi: 10.1093/humrep/dew221. Epub 2016 Sep 2.
2
Terminology for pregnancy loss prior to viability: a consensus statement from the ESHRE early pregnancy special interest group.存活前妊娠丢失的术语:欧洲人类生殖与胚胎学会早期妊娠特别兴趣小组的共识声明
Hum Reprod. 2015 Mar;30(3):495-8. doi: 10.1093/humrep/deu299. Epub 2014 Nov 5.
3
Clinical and psychological impact after surgical, medical or expectant management of first-trimester miscarriage--a randomised controlled trial.
孕早期流产手术、药物或期待治疗后的临床及心理影响——一项随机对照试验
Aust N Z J Obstet Gynaecol. 2013 Apr;53(2):170-7. doi: 10.1111/ajo.12064. Epub 2013 Mar 13.
4
WHO recommendations for misoprostol use for obstetric and gynecologic indications.世界卫生组织关于米索前列醇在产科和妇科适应证中的应用建议。
Int J Gynaecol Obstet. 2013 May;121(2):186-9. doi: 10.1016/j.ijgo.2012.12.009. Epub 2013 Feb 19.
5
Constructing experimental designs for discrete-choice experiments: report of the ISPOR Conjoint Analysis Experimental Design Good Research Practices Task Force.构建离散选择实验的实验设计:ISPOR 联合分析实验设计良好实践工作组报告。
Value Health. 2013 Jan-Feb;16(1):3-13. doi: 10.1016/j.jval.2012.08.2223.
6
A cost-effectiveness analysis of surgical versus medical management of early pregnancy loss.手术与药物治疗早期妊娠丢失的成本效果分析。
Fertil Steril. 2012 Feb;97(2):355-60. doi: 10.1016/j.fertnstert.2011.11.044. Epub 2011 Dec 21.
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Treating miscarriages: a randomised study of cost-effectiveness in medical or surgical choice.治疗流产:关于医疗或手术选择成本效益的随机研究。
BJOG. 2009 Jun;116(7):984-90. doi: 10.1111/j.1471-0528.2009.02161.x. Epub 2009 Apr 7.
8
Early termination of pregnancy by single-dose 800 microg misoprostol compared with surgical evacuation.单剂量800微克米索前列醇与手术清宫终止早孕的比较。
Fertil Steril. 2009 Jan;91(1):28-31. doi: 10.1016/j.fertnstert.2007.11.028. Epub 2008 Mar 4.
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