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用于早期流产的16,16-二甲基反式δ2-前列腺素E甲酯控释制剂。

A controlled release form of 16,16-dimethyl-trans-delta 2-PGE, methyl ester for early abortion.

作者信息

Cameron I T, Baird D T

出版信息

Contraception. 1986 Feb;33(2):121-5. doi: 10.1016/0010-7824(86)90078-8.

DOI:10.1016/0010-7824(86)90078-8
PMID:3698593
Abstract

The termination of early pregnancy (less than 56 days amenorrhoea) has been investigated using 16,16-dimethyl-trans-delta 2-PGE, methyl ester in a controlled release preparation. The onset of crampy abdominal pain was seen after 270 +/- 39 minutes and bleeding occurred after 603 +/- 95 minutes. Two (15%) patients required no pain relief during treatment, however 5 (38%) requested oral analgesia, and in 6 (46%) individuals the pain was severe enough to warrant parenteral opiates. The overall success rate for complete abortion was 85%. No serious adverse effects were seen, but vomiting occurred in 2 (15%) women, and diarrhoea in 3 (23%). Although the use of this prostaglandin analogue in slow release form provides an effective treatment method for early abortion using a reduced total dose of prostaglandin, the acceptability of the drug as an agent for menstrual induction continues to be limited by the occurrence of troublesome gastro-intestinal side effects.

摘要

使用控释制剂中的16,16 - 二甲基 - 反式 - δ2 - PGE甲酯对早期妊娠(闭经少于56天)的终止进行了研究。在270±39分钟后出现痉挛性腹痛,在603±95分钟后出现出血。两名(15%)患者在治疗期间无需止痛,然而5名(38%)患者要求口服镇痛,6名(46%)患者的疼痛严重到需要注射阿片类药物。完全流产的总体成功率为85%。未观察到严重不良反应,但2名(15%)女性出现呕吐,3名(23%)出现腹泻。尽管以缓释形式使用这种前列腺素类似物可通过减少前列腺素的总剂量为早期流产提供一种有效的治疗方法,但该药物作为月经诱导剂的可接受性仍然受到令人烦恼的胃肠道副作用的限制。

相似文献

1
A controlled release form of 16,16-dimethyl-trans-delta 2-PGE, methyl ester for early abortion.用于早期流产的16,16-二甲基反式δ2-前列腺素E甲酯控释制剂。
Contraception. 1986 Feb;33(2):121-5. doi: 10.1016/0010-7824(86)90078-8.
2
Prostaglandin-induced pregnancy termination: further studies using gemeprost (16,16 dimethyl-trans-delta 2-PGE1 methyl ester) vaginal pessaries in the early second trimester.前列腺素诱导的妊娠终止:在妊娠中期早期使用吉美前列素(16,16-二甲基-反式-Δ2-PGE1甲酯)阴道栓剂的进一步研究。
Prostaglandins. 1987 Jul;34(1):111-7. doi: 10.1016/0090-6980(87)90268-1.
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Induction of therapeutic abortion in early pregnancy with mifepristone in combination with prostaglandin pessary.米非司酮联合前列腺素阴道栓用于早期妊娠治疗性流产的引产
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Termination of early first trimester pregnancy with 16,16-dimethyl trans delta 2 prostaglandin E1 methyl ester.使用16,16 - 二甲基反式δ2前列腺素E1甲酯终止孕早期妊娠。
Prostaglandins Leukot Med. 1982 Jan;8(1):31-5. doi: 10.1016/0262-1746(82)90124-x.
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Termination of early first trimester pregnancy by vaginal administration of 16, 16-dimethyl-trans-delta 2-PGE1 methyl ester.经阴道给予16,16 - 二甲基 - 反式 - Δ2 - PGE1甲酯终止孕早期妊娠。
Asia Oceania J Obstet Gynaecol. 1982 Sep;8(3):263-8.
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Early pregnancy termination: a comparison between vacuum aspiration and medical abortion using prostaglandin (16,16 dimethyl-trans-delta 2-PGE1 methyl ester) or the antiprogestogen RU 486.早期妊娠终止:采用真空吸引术与使用前列腺素(16,16 - 二甲基 - 反式 - δ2 - PGE1甲酯)或抗孕激素RU 486进行药物流产的比较。
Br J Obstet Gynaecol. 1988 Mar;95(3):271-6. doi: 10.1111/j.1471-0528.1988.tb06868.x.
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Therapeutic abortion in early pregnancy with antiprogestogen RU486 alone or in combination with prostaglandin analogue (gemeprost).孕早期单独使用抗孕激素RU486或与前列腺素类似物(吉美前列素)联合进行治疗性流产。
Contraception. 1986 Nov;34(5):459-68. doi: 10.1016/0010-7824(86)90055-7.
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Prostaglandins and antigestagens for the interruption of early pregnancy.
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Induction of early abortion with mifepristone (RU486) and two different doses of prostaglandin pessary (gemeprost).米非司酮(RU486)与两种不同剂量的前列腺素阴道栓剂(吉美前列素)用于早期流产的引产
Contraception. 1989 May;39(5):497-502. doi: 10.1016/0010-7824(89)90104-2.
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The efficacy of oral Mifepristone (RU 38,486) with a prostaglandin E1 analog vaginal pessary for the termination of early pregnancy: complications and patient acceptability.口服米非司酮(RU 38,486)联合前列腺素E1类似物阴道栓剂用于终止早期妊娠的疗效:并发症及患者可接受性。
Am J Obstet Gynecol. 1990 Feb;162(2):414-7. doi: 10.1016/0002-9378(90)90398-q.

引用本文的文献

1
Medical termination of pregnancy.医学性人工流产
BMJ. 1990;301(6748):352-4. doi: 10.1136/bmj.301.6748.352.