未育女青年流产术后放置IUD与口服避孕药避孕效果及生命质量比较  

Comparison of the contraceptive effect and the quality of life of young childless women between the intrauterine device inserted and the oral contraceptive used after induced abortion

作　　者：韩雪芹[1] 董芬 HAN Xueqin;DONG Fen(Huaian Maternal and Child Health Care Hospital,Huaian,Jiangsu Province,223003)

机构地区：[1]江苏省淮安市妇幼保健院,223003

出　　处：《中国计划生育学杂志》2023年第11期2550-2553,共4页Chinese Journal of Family Planning

基　　金：2021年青年LARC促进公益计划专项研究基金。

摘　　要：目的:比较分析未育女青年人工流产术后放置吉妮致美宫内节育器(IUD)和复方口服避孕药(COC)避孕效果及对生命质量的影响。方法:前瞻性选择2018年7月-2021年7月在本院早孕要求人工流产后避孕的未育女青108例,随机分组原则分为IUD组和COC组,流产术后分别采取IUD避孕或COC避孕。分析两组术后阴道流血时间、术后及时避孕率、术后1年再次妊娠以及重复流产率、生命质量(SF-36评分)。结果:术后阴道流血时间COC组(5.1±1.2d)少于IUD组(9.0±1.1d)(P<0.05),两组术后及时避孕率均为100%;术后1年,COC组再次妊娠(1.8%)及重复流产率(0)均低于IUD组(12.7%、10.9%),SF-36评分生理功能(75.47±2.9分)、生理职能(74.4±3.0分)、躯体疼痛(86.7±2.0分)、一般健康(86.7±2.0分)、精力(86.2±2.5分)、社会功能(87.5±3.0分)、情感职能(75.8±2.8分)、心理健康(88.9±3.0分)均高于IUD组(65.5±2.9分、70.7±2.8分、80.5±2.6分、80.6±2.5分、80.3±2.9分、77.9±2.5分、70.4±2.7分、77.8±2.6分)(均P<0.05)。结论:育龄妇女人工流产术后使用口服避孕药避孕,术后恢复更快,避孕有效率高,且提升避孕期间的生命质量。Objective:To compare and analyze the contraceptive effect and the influence on the quality of life of young childless women between the Giny intrauterine device(IUD)inserted and the oral contraceptive(OC)used after induced abortion.Methods:108 pregnant young women who wanted contraception after induced abortion were selected as the research objects from July 2018 to July 2021.According to the principle of randomization,these women were divided into study group and control group.The women in the control group were given IUD inserted for contraception,and the women in the study group were given OC for contraception.The postoperative vaginal bleeding time,the postoperative timely contraceptive rate,the repeat pregnancy and repeat abortion rates,and the quality of life of the women in the two groups were analyzed.Results:The postoperative vaginal bleeding time(5.1±1.2d)of the women in the study group was significantly less than that(9.0±1.1d)of the women in the control group(P<0.05),and the postoperative timely contraceptive rate of the women in both groups was 100%.One year after abortion,the women in the study group had significantly lower rates of the pregnancy again(1.8%)and the repeat abortion(0)than those(12.7% and 10.9%)of the women in the control group.The values of SF-36 scores,such as physical function(75.47±2.9 points),physical function(74.4±3.0 points),physical pain(86.7±2.0 points),general health(86.7±2.0 points),energy(86.2±2.5 points),social function(87.5±3.0 points),emotional function(75.8±2.8 points),and psychological healthy(88.9±3.0 points),of the women in the study group were significantly higher than those(65.5±2.9 points,70.7±2.8 points,80.5±2.6points,80.6±2.5points,80.3±2.9points,77.9±2.5points,70.4±2.7points,and 77.8±2.6points)of the women in the control group(all P<0.05).Conclusion:The OC used after abortion of the women of childbearing age has the faster recovery,the higher contraceptive efficiency,and the improvement of the quality of life during contraception.

关 键 词：流产后避孕 吉妮致美宫内节育器 复方口服避孕药 有效率 生命质量 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]