妊娠少女人工流产医学干预的效果分析  

Analysis on the effect of medical intervention on artificial abortion among pregnant girls

作　　者：段秀玲[1] 柳怡[1] 颜焰[1] 

机构地区：[1]四川省成都市锦江区妇幼保健院,610061

出　　处：《中国妇幼保健》2012年第28期4413-4416,共4页Maternal and Child Health Care of China

基　　金：四川省卫生厅科研课题〔090100〕

摘　　要：目的:分析对妊娠少女进行人工流产医学干预的效果,探讨适合评价妊娠少女人工流产医学干预的效果指标。方法:通过奇偶号将500例样本分为参照组和干预组,进行为期1年的随访,采用统计学方法分析两组干预效果指标的差异性。结果:干预组的性和生殖健康知识提升分为(4.53±1.58),高于参照组的(2.31±0.68),差异有统计学意义(t=-17.830,P<0.05);干预组的流产后首次性生活避孕措施使用率为85.1%,高于参照组的60.7%,差异有统计学意义(χ2=22.911,P<0.01);两组避孕措施的使用频度构成比差异有统计学意义(χ2=33.527,P<0.01),参照组、干预组的无效避孕措施率减少百分比分别为24.4%、52.2%,干预组的频度提升幅度和无效避孕措施率减少百分比均优于参照组,且人工流产后1年内再次妊娠率(10.5%)低于参照组(18.5%),差异有统计学意义(χ2=3.905,P<0.05)。结论:医学干预对妊娠少女流产后的性和生殖健康知识得分、流产后首次性生活避孕措施使用、避孕措施使用频度、流产后1年内无效避孕措施率百分比和再次妊娠率等5个指标均有所改善。Objective： To analyze the effect of medical intervention on artificial abortion among pregnant girls, explore the indexes suitable for evaluating the effect. Methods： A total of 500 samples were divided into control group and intervention group according to odd - even number, then they were followed up for one year, the difference of indexes of intervention effects in the two groups were analyzed by sta- tistical analysis. Results： The promoting score of gender and reproductive health knowledge in intervention group was （4. 53 ± 1.58）, which was statistically significantly higher than that in control group （2. 31 ± 0. 68） （ t = - 17. 830, P 〈 0.05 ） ; the rate of utilization of contraceptive measures for the first sexual life after abortion in intervention groups was 85.1%, which was statistically significantly higher than that in control group （60. 7% ） （X2 = 22. 911, P 〈 0. 01 ） . There was statistically significant difference in the proportion of usage frequency of con- traceptive measures between the two groups （X2 = 33. 527, P 〈 0. 01 ）, the rates of useless contraceptive measures in control group and inter- vention group decreased by 24. 4% and 52. 2%, respectively; the promoting range and the proportion of decrease of the rate of useless con- traceptive measures in intervention group were statistically significantly higher than those in control group, and the subsequent pregnancy rate again within one year after abortion in intervention group was 10. 5%, which was statistically significantly lower than that in control group （ 18.5% ） （X2 = 3. 905, P 〈0. 05 ） . Conclusion： Medical intervention can improve the score of gender and reproductive health knowledge after abortion, utilization of contraceptive measures for the first sexual life after abortion, the frequency of utilization of contraceptive measures, the proportion of rate useless contraceptive measures within one year after abortion, and the subsequent pregnancy rate.

关 键 词：医学干预 妊娠 少女人工 流产避孕 

分 类 号：R173[医药卫生—妇幼卫生保健] R169.1[医药卫生—公共卫生与预防医学]