药物流产与人工流产对未婚非意愿妊娠女性焦虑、抑郁情绪的影响对比研究  

Comparative study of the influences of medical abortion and induced abortion on anxiety and depression in unmarried women with non-intentional pregnancy

作　　者：高宝侠 刘润润[1] 崔绪琴[1] 谢琪[1] 张忠明[1] 

机构地区：[1]西安交通大学第一附属医院,陕西西安710061

出　　处：《中国妇幼健康研究》2017年第6期641-643,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探究对比药物流产与人工流产对未婚非意愿妊娠女性焦虑、抑郁情绪的影响。方法选择2014年12月至2016年12月于交通大学第一附属医院接受流产的120例非意愿妊娠女性,根据患者自身意愿分为两组,即观察组60例,给予无痛人工流产,对照组60例给予药物流产,对比两组临床效果,且于流产前后评估焦虑、抑郁状况。结果观察组完全流产率为96.67%,显著高于对照组90.00%(χ~2=8.928,P<0.05),且观察组出血量、出血天数、腹痛持续时间均显著低于对照组,差异具有统计学意义(t值分别为7.293、8.821、10.820,均P<0.05)。观察组中不良反应发生率为10.00%,对照组中不良反应发生率为18.33%,两组对比具有统计学差异(χ~2=7.690,P<0.05)。观察组焦虑情绪发生率为23.33%,抑郁情绪发生率为21.67%,均显著低于对照组的31.67%和35.00%,具有统计学差异(χ~2值分别为7.312、6.992,均P<0.05)。观察组疼痛程度显著低于对照组(χ~2=9.829,P<0.05)。结论给予未婚非意愿妊娠女性无痛人工流产,能够有效改善患者焦虑、抑郁情绪,降低流产疼痛感,控制不良反应发生,效果显著,值得临床推广采用。Objective To explore the influences of medical abortion and induced abortion on anxiety and depression in unmarried women with non-intentional pregnancy. Methods Totally 120 unmarried women with non-intentional pregnancy accepting abortion in the First Affiliated Hospital of Xi ＇an Jiaotong University during December 2014 to December 2016 were selected. According to their own willingness,the patients were divided into observation group（60 cases） receiving painless artificial abortion and control group（60 cases）receiving medical abortion. The clinical effects between two groups were compared. The anxiety and depression was assessed before and after abortion. Results The complete abortion rate in the observation group was 96. 67%,which was significantly higher than 90. 00% in the control group（χ~2= 8. 928,P〈0. 05）. The amount of bleeding,the number of bleeding days and the duration of abdominal pain of patients in the observation group were significantly lower than those in the control group with statistical differences（t value was 7. 293,8. 821 and 10. 820,respectively,all P〈0. 05）. In the observation group,the incidence of adverse reactions was 10. 00%,while in the control group,that was 18. 33%. There was statistically significant difference between two groups（χ~2= 7. 690,P〈0. 05）. In the observation group,the incidence of anxiety was 23. 33%,and the incidence of depression was 21. 67%,which was significantly lower than that in the control group（31. 67%,35. 00%） with statistical significance（χ~2value was 7. 312 and 6. 992,respectively,both P〈0. 05）.The degree of pain of patients in the observation group was significantly lower than that in the control group（χ~2= 9. 829,P〈0. 05）.Conclusion For unmarried women with non-intentional pregnancy,painless artificial abortion can effectively improve the anxiety and depression of patients,reduce the pain of abortion and control adverse reactions with significant effect,which is worthy application and promotion in clinics.

关 键 词：药物流产 无痛人工流产 未婚非意愿妊娠女性 焦虑 易于情绪 

分 类 号：R714.21[医药卫生—妇产科学]