人工流产后即时服用屈螺酮炔雌醇片(Ⅱ)临床观察  

Clinical observation on immediate application of drospirenone and ethinylestradiol tablets(Ⅱ)after abortion

作　　者：钱翠凤[1] 姚晓英[1] QIAN Cuifeng;YAO Xiaoyin(Obstetrics and Gynecology Hospital of Fudan University,Shanghai,200011)

机构地区：[1]复旦大学附属妇产科医院,上海200011

出　　处：《中国计划生育学杂志》2021年第4期682-685,共4页Chinese Journal of Family Planning

摘　　要：目的:观察人工流产后即时服用屈螺酮炔雌醇片(Ⅱ)对术后出血、并发症的影响以及持续使用情况。方法:观察组256例人工流产术后当天开始服用屈螺酮炔雌醇片(Ⅱ),推荐服用6个周期,对照组249例未服用。结果:观察组术后出血时间长于对照组,术后第一次转经经量减少发生率高于对照组,周期控制优于对照组(P<0.05),两组残留、盆腔炎、宫腔粘连的发生率无统计学差异,仅105例(41.0%)完成6周期服药,重复流产女性的续用率更低(P<0.05)。结论:人工流产后即时服用屈螺酮炔雌醇片(Ⅱ)有良好的周期控制作用,不增加并发症的发生,随着时间推移,使用率下降。Objective:to investigate the influence of drospirenone and ethinylestradiol tablets(Ⅱ)used after abortion immediately on the bleeding pattern after abortion,complication rate,and the continuous using rate.Methods:256 women in study group took drospirenone and ethinylestradiol tablets(Ⅱ)post abortion immediately and then were recommended for 6 months’used,while another 249 women without drospirenone and ethinylestradiol tablets(Ⅱ)used were in control group.Results:The postoperative bleeding time of the women in the study group was significant longer than that of the women in the control group,the incidence of the menstrual volume reduction of the first postoperative menstrual recovery was significant higher than that of the women in the control group,and the cycle control of the women in the study group was significant better than that of the women in the control group(P<0.05).The incidences of residual,pelvic inflammation,and intrauterine adhesions of the women had no statistically significant different between the two groups.Only 105(41.0%)women had completed 6 cycles of drospirenone and ethinylestradiol tablets(Ⅱ).The continued use rate of women with repeated abortion was significant lower(P<0.05).Conclusion:The application of drospirenone and ethinylestradiol tablets(Ⅱ)after abortion immediately has good menstruation cycle control and has not increase complications rate,but its continuation using rate decreases as time goes on.

关 键 词：流产后避孕 屈螺酮炔雌醇片 出血 续用率 并发症 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]