流动育龄妇女药物流产失败的人口学特征及影响因素分析  

Risk factors of drug abortion failure in floating pregnant women

作　　者：吕燕萍[1] 梁秋峰[1] Lü Yan ping;LIANG Qiu feng(Dept.of Birth Control,Maternity and Child Care Hospital,Jiading District,Shanghai 201821,China)

机构地区：[1]上海市嘉定区妇幼保健院计划生育科,上海201821

出　　处：《同济大学学报（医学版）》2018年第5期110-113,共4页Journal of Tongji University(Medical Science)

摘　　要：目的探讨人口学特征及妇科因素对流动育龄妇女药物流产的影响。方法选取2016年10月至2017年10月进行药物流产的1 226例流动育龄妇女,收集、记录人口学特征信息,并对其行妇科及超声检查。结果 1 049例药流成功(85. 56%),177例药流失败(16. 87%),远低于文献所报道的药物流产成功率92%[1],两组数据在年龄、剖宫产史,停经天数、孕囊直径、子宫位置、生殖道畸形、盆腔炎症方面差异有统计学意义(P<0. 05),而患者在是否已婚、学历、职业、流动时间、吸烟、饮酒、流产史、以及是否合并子宫肌瘤等方面差异无统计学意义(P>0. 05)。年龄<20岁、剖宫产≥2次、停经45～49 d、孕囊直径≥20 mm、合并生殖道畸形及慢性盆腔炎症则是影响流动育龄妇女药物流产成功的高危因素。结论关注流动育龄妇女的生殖健康,并选择适宜的流产方式,以提高药物流产的成功率。Objective To explore the risk factors of drug abortion failure in floating pregnant women.Methods Total 1 226 floating pregnant women with drug abortion were enrolled from October 2016 to October 2017. The demographic and clinical data were collected and analyzed.Results Among 1 226 pregnant women, 1 049 cases had successful drug abortion and 177 cases failed（14.4%）, the successful rate（85.6%） was lower than that reported in literature（92%）. There were significant differences in age, history of cesarean section, menopause days, gestational sac diameter, uterine position, uterine malformation and pelvic inflammation （ P 〈0.05）, while no statistically significant differences in marriage status, occupation, floating time, smoking, drinking, contraception, pregnant times, history of abortion, uterine fibroids（ P 〉0.05） between successful abortion and failed abortion groups. Logistic regression analysis showed that less than 20 years of age, more than two caesarean sections, 45 49 days of menopause, gestational sac diameter≥20 mm, combined with uterine deformity and chronic pelvic inflammatory disease were risk factors of drug abortion failure in floating pregnant women.Conclusion To improve the success rate of drug abortion, attention should be paid to the reproductive health of floating pregnant women and to choose appropriate abortion methods is also needed.

关 键 词：流动育龄妇女 药物流产 影响因素 

分 类 号：R714.21[医药卫生—妇产科学]