北京社区医院非医学原因人工流产现状调查  

A Survey of Nonmedical Induced Abortions in Community Hospital of Beijing

作　　者：宋艳波[1] 段仙芝[2] 王少明[3] 张慧卿[1] 石永明[1] 

机构地区：[1]北京市大兴区亦庄医院妇产科,北京102600 [2]首都医科大学附属北京同仁医院妇产科,北京100730 [3]中国医学科学院肿瘤医院,北京100600

出　　处：《内蒙古医学杂志》2016年第2期200-203,共4页Inner Mongolia Medical Journal

摘　　要：目的调查北京郊区社区医院非医学原因妇女人工流产现状,为该地区低收入妇女的生殖健康提供指导和建议。方法对象为2012年1月至2014年12月在北京市大兴区亦庄医院因非医学原因行人工流产的全部病例。将研究对象分为未婚、已婚未育、已婚正常产及已婚剖宫产4组,对比4组在年龄、户籍、流产次数和本次人工流产距前次人工流产时间间隔等方面的差异。结果 2012年行非医学原因人工流产女性1 081名,2013年933名,2014年975名,共计2 989名,年龄15~47岁,平均（27.60±6.30）岁,≤20岁者占11.67%（349/2989）;非京籍流动人口占84.78%（2 534/2 989）,未婚者占32.45%（970/2 989）,重复人工流产者占58.61%（1 752/2 989）;在重复流产者中,本次人工流产距前次间隔时间不满1年者占28.5%（500/1 752）,流产次数≥3次者占40.07%（702/1752）,未婚组中流动人口占89.7%（870/970）,未婚重复流产者中间隔不满1年者占47.6%（151/317）,两者均高于已婚未育组、已婚正常产组和已婚剖宫产组（P〈0.001）。在已婚已育者中,有剖宫产史者占1/3。结论北京亦庄地区因非医学原因行人工流产术的女性群体中,近4/5为流动人口,近1/3为未婚女性,1/2以上有既往人工流产经历,在已婚已育者中,有剖宫产史者占1/3,未婚者流产间隔时间最短,提示城市地区流动人口、未婚女性的生殖健康令人堪忧,应为其提供相应健康指导。Objective To investigate the situation of non-medical induced abortion in suburban community hospitals in Beijing.To provide guidance and advice for the reproductive health of women in suburban areas.Methods All patients who received non-medical induced abortion in Beijing Yizhuang hospital from January of 2012 to December of 2014 were selected as subjects.All the subjects were divided into 4groups：unmarried,married without child,married with normal birth,and married with caesarean birth.Age,registered permanent residence,number of abortion,and interval from the latest abortion to this one,were compared.Results There were 1 081,933 and975 women receiving non-medical induced abortion in 2012,2013 and 2014,respectively.A total of 2 989 women aged 15~47 years old were enrolled,with an average age of 27.60 years old.Of these women,11.67%（349/2 989）were younger than20 years old;84.78%（2 534/2 989）were floating population;32.45%（970/2 989）were unmarried;and 58.61%（1 752/2 989）were performed repeated abortion.Of women who underwent repeated abortions,28.5%（500/1 752）showed an interval of less than one year from the latest abortion to this one;40.07%（702/1750）underwent more than 3 times of abortions.Of unmarried women,89.7%（870/970）were floating population,and 47.6%（151/317）showed an interval of less than one year from the latest abortion to this one.Both of the two ratios were significantly in unmarried group higher than that in groups of married without child,married with normal birth,or married with caesarean birth（P〈0.001）.One third of married women had a history of cesarean section.Conclusions Of women who received non-medical induced abortion in Yizhuang area,approximately four-fifths were floating population,one-third were unmarried,more than half has a history of abortion.One third married women had a history of cesarean section.Unmarried women had the shortest interval from the latest abortion to this one.The health providers need to pay attention to the reproductive healt

关 键 词：人工流产 未婚女性 流动人口 城市郊区 

分 类 号：R71[医药卫生—妇产科学]