流产后即时口服避孕药降低术后清宫率的临床观察  

A clinical observation of the effects of taking oral contraceptives timely after abortion on reducing the rate of postoperative uterus cleaning

作　　者：朱丹阳[1] 赵秀敏[1] 陈晓璐[1] 

机构地区：[1]浙江省台州市第一人民医院妇产科,浙江台州318020

出　　处：《中国现代医生》2014年第16期143-145,共3页China Modern Doctor

基　　金：浙江省人口计生委科研项目(浙人口计生委[2010]78)

摘　　要：目的观察流产后即时口服避孕药是否有助于降低术后再次清宫率。方法患者随机分为观察组(术后口服优思明)与对照组各100例,人流术后7天复查B超,正常者每个月随访1次,异常者每周随访1次至正常后转为每个月1次。结果观察组B超正常者85例、异常者15例,阴道出血、转经时间分别为(4±0.6)、(28±3.4)、(8.3±1.9)、(31±3.5)d,再次刮宫者0例。对照组正常者82例,异常者18例,阴道出血、转经时间分别为(7±1.5)、(35±2.3)、(12.3±2.1)、(35±4.5)d,再次刮宫者6例。两组阴道出血、转经时间、再次刮宫率存在显著差异(P<0.05)。结论人流术后口服避孕药缩短阴道出血及转经时间,降低再次清宫率。Objective To observe whether taking oral contraceptives timely after abortion helps reduce the rate of repeated uterus cleaning. Methods Patients were randomly assigned to observation group（orally taking Yasmin after abortion） and control group, with 100 patients in each group. They were received type-B ultrasound seven days after abortion. The patients with normal test results were visited once a month and the patients with abnormal test results were visited once a week, and once a month after the results became normal. Results Eighty-five patients in observation group had normal test results and 15 had abnormal results. Durations of vaginal bleeding and resuming to normal menstruation were（4±0.6）, （28±3.4）, （8.5±1.9）, and （31±3.5） days respectively. No patients were received dilation and curettage again. 82 patients in control group had normal test results and 18 had abnormal results. The durations of vaginal bleeding and resuming to normal menstruation were （7±1.5）, （35±2.3）, （12.3±2.1）, and （35±4.5） days respectively. Six patients were received dilation and curettage again. The differences of the durations of vaginal bleeding, resuming to normal menstruation and the rate of repeated uterus cleaning between the two groups were statistically significant （P〈0.05）. Conclusion Taking oral contraceptives after abortion helps shorten the durations of vaginal bleeding and resuming to normal menstruation, and reduce the rate of repeated uterus cleaning.

关 键 词：人工流产 人流不全 口服避孕药 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]