流产后关爱服务干预用于人工流产的效果分析  

Analysis on effect of post-abortion care service inte rvention used in artificial abortion

作　　者：陈镘如[1] 梅立[1] 王滟[1] 

机构地区：[1]四川省人民医院妇产科,成都610072

出　　处：《现代医药卫生》2015年第18期2746-2748,共3页Journal of Modern Medicine & Health

摘　　要：目的 探讨对人工流产女性实施流产后关爱服务干预的临床效果。方法 选取2014年1-10月在四川省人民医院妇产科进行人工流产的育龄女性893例为研究对象,以2014年1-5月接受传统模式讲解人工流产风险及术后注意事项的432例患者为对照组;2014年6-10月实施流产后关爱服务,并于手术后当天开始服用屈螺酮炔雌醇片的461例患者为研究组。比较两组患者术后阴道流血持续时间、阴道流血量、月经复潮时间、月经量改变情况,以及人工流产术后3、6个月避孕措施、高效避孕措施使用率,术后6个月再次流产率。结果 研究组患者术后阴道流血量、阴道流血持续时间、再次流产率均明显低于对照组,差异均有统计学意义（P〈0.05）。研究组患者避孕措施、高效避孕措施使用率均高于对照组,差异均有统计学意义（P〈0.05）。结论 流产后关爱服务能提高女性科学避孕意识,同时,人工流产术后即时服用口服避孕药,能有效减少人工流产术后并发症,降低再次流产率,值得临床广泛推广应用。Objective To investigate the clinical effect of implementing the post-abortion care（PAC） service intervention in females undergoing artificial abortion. Methods 893 childbearing women undergoing artificial abortion in the obstetrics and gynecology department of our hospital from January to October 2014 were selected as the research subjects. The PAC services were started to be implemented in our hospital from June 2014. Therefore ,432 cases from January to May 2014 were selected as the control group and received the traditional patterns for explaining the artificial abortion risk and postoperative matters needing attention;461 cases from June to October 2014 as the study group were implemented the PAC services and took drospirenone and ethinylestradiol on the day after operation. The postoperative vaginal bleeding duration,vaginal bleeding volume,postoperative menstrual recovery time,postoperative menstrual quantity changes,contraception measures at 3,6 months after artificial abortion operation,use rate of highly efficient contraceptive measures,contraceptive measures at 6 months after operation and repeated abortion rate were compared between the two groups. Results Postoperative vaginal bleeding,bleeding duration and repeated abortion rate in the study group were significantly lower than those in the control group ,and the differences were statistically sig-nificant（P〈0.05）. The use rate of contraceptive measures and use rate of highly efficient contraceptive measures in the study group were higher than those in the control group,and the differences were statistically significant（P〈0.05）. Conclusion The PAC ser-vices can raise the awareness of scientific contraception for females. At the same time immediately taking oral contraceptive drugs after artificial abortion operation can effectively reduce the complications of artificial abortion ,reduces the repeated abortion rate and is worth of being widely promoted and applied in clinic.

关 键 词：避孕 干预性研究 流产 人工 避孕药 口服 手术后期间 流产后关爱服务 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]