人工流产术女性PAC后长效可逆避孕措施落实情况及影响因素分析  

Analysis of implementation situation and influencing factors of long-acting reversible contraception measures after PAC in 4068 artificial abortion women

作　　者：蔡惠芬[1] 刘小艳[1] 王江[1] 孟珊[1] 王惠[1] 刘佳[1] 常青[1] 

机构地区：[1]第三军医大学西南医院妇产科,重庆400038

出　　处：《重庆医学》2017年第24期3378-3380,共3页Chongqing medicine

摘　　要：目的探讨人工流产(简称人流)女性接受流产后关爱(PAC)后,即时落实长效可逆避孕(LARC)的情况和影响因素。方法对2016年在该院计划生育门诊实施人流的4 068例女性分别依据人口学特征和人流风险进行分类,对比不同特征群体接受PAC后的LARC落实情况,用SAS软件对数据的统计意义进行χ2检验。结果青少年女性LARC避孕率(7.9%)低于19~40岁(33.9%)和围绝经期女性(11.8%);未生育女性LARC避孕率(10.6%)低于已生育女性(33.9%);高危人流女性LARC避孕率(33.1%)高于低危人流女性(16.6%),这些数据分析均有统计学意义(P<0.05)。高危人流中年龄小于或等于20岁女性、哺乳期、顺产3个月内、剖宫产半年内和人流大于或等于3次LARC避孕率低(<50.0%);而瘢痕妊娠和剖宫产大于或等于2次避孕率高(>80.0%)。结论应将青少年、未生育女性和高危人流中产后女性列为PAC咨询的重点人群。Objective To explore the implementation situation and influencing factors of long-acting reversible contraception（LARC）after receiving post-abortion care（PAC）in artificial abortion women.Methods According to the demographic characteristics and abortion risks,4 068 artificial abortion women in the family planning clinic of our hospital were classified.The LARC implementation situation after receiving PAC was compared among different characteristic populations.The Chi square test was utilized to analyze the statistical significance of the data by SAS software.Results The LARC rate in young women was 7.9%）,which was lower than 27.7% in 19-40 years old women and 11.8% in perimenopausal women;the LARC rate in nulliparous women was 10.6%,which was lower than 27.7%in parous women;the LARC rate in high-risk abortion women was 33.1%,which was higher than 16.6% in low-risk abortion women,these data analysis had statistically significant significance（P〈0.05）.The LARC rate in≤20years old women among high-risk abortion women,breastfeeding women,delivery women within three months,cesarean section women within six months and more than three times artificial abortion women was low（ 50%）.However,the LARC rate in the scar pregnancy women and more than two times cesarean section women was high（〉80%）.Conclusion Young women,nulliparous women and postpartum women in high-risk artificial abortion should be ranked the focus group for PAC consulting.

关 键 词：流产 人工 宫内避孕器 流产后关爱 长效可逆避孕 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]