女妇产科医生295例对避孕及HRT的认知和态度  

Cognition and attitude on contraception and hormone replacement therapy among 295 female obstetricians and gynecologists

作　　者：何小静[1] 李晓冬[1] 李艳飞[2] 王彦洁[3] 杜彦芳[1] 杨欣[3] 

机构地区：[1]河北医科大学第二医院妇科,石家庄050000 [2]沧州市中心医院妇科 [3]北京大学人民医院妇科

出　　处：《山西医科大学学报》2014年第9期810-813,共4页Journal of Shanxi Medical University

摘　　要：目的了解女妇产科医生对避孕方式的选择及性激素补充治疗(hormone replacement therapy,HRT)的认知。方法对参加2013年3月河北省妇科内分泌学习班的女妇产科医生,以问卷形式调查其自身对避孕方式的选择及口服避孕药、HRT的认知情况。结果 1共回收有效问卷295例(98.3%),平均年龄(37.6±9.6)岁,其中75.8%(222例)已生育。247.8%(141例)曾因意外妊娠而行人工流产,其中64.7%表示未采取任何避孕措施。3目前采取避孕措施的人群中52.6%选择宫内节育器,20.5%安全套+安全期,3.8%口服避孕药,1.3%曼月乐。4关于口服避孕药:76.8%认为可以治疗痛经和经前期紧张综合征,62.9%认为可改善皮脂分泌、治疗多囊卵巢综合征、减少月经量,而高达72.8%错误认为长期服用会导致闭经和卵巢早衰,52.6%表示低剂量口服避孕药需停药3-6个月后再妊娠。5认为HRT可以缓解和治疗更年期综合征症状,预防和治疗骨质疏松分别为93.9%,87.1%,高达60.9%的医生认为HRT增加乳腺癌风险。结论 1女妇产科医生中因意外妊娠而行人工流产的比率高。2女妇产科医生口服避孕药使用率低,且对口服避孕药的副作用存在误区。3女妇产科医生对HRT适应证认同性高,但对HRT的副作用过度担心。Objective To investigate the awareness about contraception and hormone replacement therapy（HRT）among female obstetricians and gynecologists.Methods A questionnaire survey was performed in female obstetricians and gynecologists who participated in gynecologic endocrine classes in Hebei province in March 2013 on her own choice of contraception and oral contraceptives,cognition about HRT.Results ①Totally 295 doctors （98.3％）fulfilled the survey.The average age was （37.6 ± 9.6）years.Of them,75.8％ （222） had given birth.②Of 295 doctors,141 （47.8 ％） had an abortion due to unwanted pregnancy,of which,64.7 ％ did not take any contraceptive measures.③Currently,52.6％ chose intrauterine devices （IUD）,20.5 ％ used condoms plus rhythm method,3.8 ％ took oral contraceptives,and 1.3％ used levonorgestrel releasing intrauterine system（LNG-IUS）.④About the cognition of compound oral contraceptives （COC）,76.8％ doctors thought that it could treat dysmenorrhea and premenstrual tension syndrome,62.9％ agreed that it could improve the sebum secretion,polycystic ovary syndrome and reduce menstrual quantity and improve menorrhea,72.8％ worried about amenorrhea and ovarian failure after using a long time,and 52.6％ thought it should not be used 3-6 months before pregnancy.⑤About 93.9％ doctors were sure that HRT can relieve and treat menopausal syndrome,87.1％ thought that it can prevent and treat osteoporosis,but up to 60.9％ worried about the risk of breast cancer.Conclusion ①The ratio of unwanted pregnancy and abortion is high among female obstetricians and gynecologists.②The utilization rate of compound oral contraceptive among female obstetricians and gynecologist is low because of some misunderstanding on the side effects.③The recognition of hormone replacement therapy is high but they fear about side effects meantime.

关 键 词：避孕 妇产科医生 避孕药 激素补充治疗 

分 类 号：R167[医药卫生—公共卫生与预防医学]