人工流产手术后立即口服避孕药妈富隆临床观察  

Effect of Contraceptive Pills Immediately after Artificial Abortion

作　　者：谢峰[1] 康红[1] 

机构地区：[1]首都医科大学宣武医院妇产科,北京100053

出　　处：《生殖与避孕》2009年第3期186-188,共3页Reproduction and Contraception

摘　　要：目的:探讨人工流产手术后立即口服避孕药妈富隆临床效果。方法:人工流产手术者400例,随机分为观察组200例:术后当天即服避孕药妈富隆1片/d,21d为1疗程;对照组200例,不服任何西药。二组均于术后服中药益母草促进子宫收缩。观察术后出血量、出血时间、月经转归时间,术后2周子宫内膜厚度、尿hCG转阴情况、盆腔感染情况。结果:二组术后出血量、出血时间,子宫内膜修复情况均无显著性差异(P>0.05)。观察组术后月经转归时间(23.3±3.1d)短于对照组(30.0±4.6d),差异有统计学意义(P<0.05)。观察组术后2周尿hCG转阴率(72.3%)高于对照组(52%),差异有统计学意义(P<0.05)。观察组术后无盆腔感染者,对照组有2例子宫内膜炎。结论:人工流产手术后立即口服避孕药妈富隆安全,对术后出血量无影响,月经转归时间准确,并可促进子宫内膜修复,减少盆腔感染,符合生殖健康理念,值得推广。Objective： To assess the use of oral contraceptive（OC） in women undergoing artificial abortion. Methods： A total of 400 women were randomized by computer to receive either OC or not, 200 women in OC group taking Maxvelon 1 pill/d × 21 d immediately after artificial abortion, the other in control group without taking any west medicine. Survey volume of blood, bleeding time, time of menstruation turn over were observed, as well as thickness of endometrium, negative rate of urine hCG, and rate of pelvis infection after 2 weeks. Results： There was no difference in volume of blood, bleeding time, thickness of endometrium between the two groups. There was a statistically significant decrease in time of menstruation turn over in the OC group. There was a tendency in preventing pelvis infection in the OC group. The negative rate iof urine hCG in OC group was more than that in control group. Conclusion： It is safe to offer women combined OC pills immediately after artificial abortion as an option of contraception. It dose not affect vaginal bleeding or the complete abortion rate, having exact time of menstruation turn over, decreasing pelvis infection.

关 键 词：人工流产 口服避孕药 妈富隆 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]