关爱服务对人工流产后患者影响的临床研究  

Clinical research of effect of post-abortion care services on patients after induced abortion

作　　者：刘婷婷[1] 郑明康[1] LIU Tingting;ZHENG Mingkang(Department of Gynaecology,Zhuhai City Maternity and Child Health Hospital,Guangdong Province,Zhuhai 519000,China)

机构地区：[1]广东省珠海市妇幼保健院妇科,广东珠海519000

出　　处：《中国医药导报》2021年第3期193-196,共4页China Medical Herald

摘　　要：目的探讨流产后关爱服务(PAC)对人工流产后患者的影响及临床价值。方法选取2018年7月—2019年6月广东省珠海市妇幼保健院就诊且行人工流产的400例患者进行回顾性分析。依据干预措施将其分为对照组(178例)和实验组(222例)。对照组予人工流产前后基本人工流产注意事项介绍,人工流产后未采取高效避孕方式;实验组人工流产前后予PAC服务并在人工流产后采取高效避孕方式。实验组根据患者术后选择的避孕方式,进一步分为优思悦组(143例)和宫内节育器组(79例)。随访6个月。比较各组人工流产后阴道流血时间,1个月后子宫内膜厚度、月经恢复情况、宫腔粘连情况、盆腔炎及避孕情况。结果实验组阴道流血持续时间短于对照组,1个月后子宫内膜厚度大于对照组,宫腔粘连发生率低于对照组,月经恢复率高于对照组,再次妊娠率低于对照组(均P<0.01)。优思悦组阴道流血持续时间短于宫内节育器组,1个月后子宫内膜厚度大于宫内节育器组,月经恢复率高于宫内节育器组,再次妊娠率低于宫内节育器组(P<0.05或P<0.01)。结论PAC服务有效提高避孕效果,降低育龄期妇女人工流产率和“高危人工流产”率。对于无生育要求需要长期避孕或年龄较大的患者使用宫内节育器经济方便并且安全有效;对于尚有生育要求或未生育的年轻患者采用口服优思悦避孕效果更好,能较好地帮助患者子宫内膜及月经恢复,减少阴道流血时间,降低宫腔粘连发生率;PAC服务值得在临床上广泛推广。Objective To investigate the effect and clinical value of post-abortion care(PAC)services on patients after induced abortion.Methods From July 2018 to June 2019,400 patients who underwent induced abortion in Zhuhai City Maternity and Child Health Hospital of Guangdong Province were selected for retrospective analysis.According to the intervention measures,they were divided into control group(178 cases)and experimental group(222 cases).Control group was given the introduction of basic matters needing attention before and after induced abortion,and no effective contraceptive method was adopted after induced abortion;experimental group received PAC services before and after induced abortion and adopted efficient contraceptive method after abortion.The experimental group was further divided into Ustar yue group(143 cases)and intrauterine device group(79 cases)according to the methods of contraception selected after surgery.Vaginal bleeding time after induced abortion,endometrial thickness one month after the treatment,recovery of menstruation,intrauterine adhesion,pelvic inflammation and contraception were compared between each group.Results Vaginal bleeding time in experimental group was shorter than that of control group;endometrial thickness one month after the treatment was higher than that of control group;incidence of intrauterine adhesion was lower than that of control group;menstrual recovery rate was higher than that of control group and repregnancy rate was lower than that of control group(all P<0.01).Vaginal bleeding time in Ustar yue group was shorter than that of intrauterine device group;endometrial thickness one month after the treatment was higher than that of intrauterine device group;menstrual recovery rate was higher than that of intrauterine device group and repregnancy rate was lower than that of intrauterine device group(P<0.05 or P<0.01).Conclusion PAC service effectively improves contraception effect and decreases incidence of induced abortion and incidence of“high-risk induced abortion”.F

关 键 词：流产后关爱服务 人工流产 宫内节育器 优思悦 

分 类 号：R473.71[医药卫生—护理学]