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米非司酮与前列腺素终止早期妊娠最佳方案的研究

[A study on the optimal regimen of mifepristone with prostaglandin for termination of early pregnancy].

作者信息

Jing X, Weng L

机构信息

Beijing Chaoyang Hospital.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1995 Jan;30(1):38-41.

PMID:7750407
Abstract

One thousand and thirty-five women in early pregnancy (< or = 49 days), who requested medical abortion were randomly allocated into 8 groups. Mifepristone and 15-methyt-PGF2 alpha vaginal suppository (PG05) and misoprostol oral (tablets) were given as the following 8 regimens: group 1 (n = 195): a single dose of mifepristone 200 mg + PG05 1 mg on the 3rd or 4th day; group 2 (n = 249): mifepristone 25 mg b.i.d. (total amount of 150mg) + PG05 1mg on the 3rd or 4th day; group 3 (n = 67): mifepristone 25 mg b.i.d. (total amount of 125mg) + PG05 1mg in the morning of the 3rd day; group 4 (n = 108): a single dose of mifepristone 200mg + misoprostol 600 micrograms on the 3rd day; group 5 (n = 199): a single dose of mifepristone 150mg + misoprostol 600 micrograms on the 3rd day; group 6 (n = 60): mifepristone 50 mg was given immediately, then 25 mg b.i.d. (total amount of 150mg + misoprostol 600 micrograms; group 7 (n = 123): mifepristone 50 mg in the morning and 25mg in the evening for two days (total amount of 150 mg) + misoprostol 600 micrograms; group 8 (n = 34): mifepristone 25 mg b.i.d. (total amount of 125mg) + misoprostol 400 micrograms. As a result, the complete abortion rate of each group was 92.8%, 95.2%, 92.5%, 93.5%, 87.4%, 98.4%, 92.7% and 94.1% successively. The rate of group 5 was significantly lower than that of group 2 and 6 (P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1035名早期妊娠(≤49天)要求药物流产的女性被随机分为8组。米非司酮与15 - 甲基前列腺素F2α阴道栓剂(PG05)及米索前列醇口服片按以下8种方案给药:第1组(n = 195):第3或4天单次口服米非司酮200mg + PG05 1mg;第2组(n = 249):米非司酮25mg每日2次(总量150mg)+第3或4天PG05 1mg;第3组(n = 67):米非司酮25mg每日2次(总量125mg)+第3天上午PG05 1mg;第4组(n = 108):第3天单次口服米非司酮200mg +米索前列醇600μg;第5组(n = 199):第3天单次口服米非司酮150mg +米索前列醇600μg;第6组(n = 60):立即口服米非司酮50mg,然后25mg每日2次(总量150mg +米索前列醇600μg);第7组(n = 123):米非司酮50mg上午、25mg晚上服用,连服2天(总量150mg)+米索前列醇600μg;第8组(n = 34):米非司酮25mg每日2次(总量125mg)+米索前列醇400μg。结果,各组完全流产率依次为92.8%、95.2%、92.5%、93.5%、87.4%、98.4%、92.7%和94.1%。第5组的比率显著低于第2组和第6组(P < 0.05)。(摘要截选至250字)

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