未育女性人工流产术后即时放置宫内节育器的影响因素研究  

Study on the influencing factors of immediate intrauterine device placement after induced abortion in infertile women

作　　者：王聘清 夏菁 张英敏 WANG Pinqing;XIA Jing;ZHANG Yingmin(Department of Family Planning,Huaian Maternal and Child Health Hospital Affiliated to Yangzhou University,Jiangsu Province,Huaian 223002,China;Department of Traditional Chinese Medicine Gynecology,Huaian Maternal and Child Health Hospital,Jiangsu Province,Huaian 223002,China)

机构地区：[1]扬州大学附属淮安市妇幼保健院计划生育科,江苏淮安223002 [2]江苏省淮安区妇幼保健院中医妇科,江苏淮安223002

出　　处：《中国医药导报》2024年第11期43-46,共4页China Medical Herald

基　　金：江苏省卫生健康委妇幼健康科研项目(F202038)。

摘　　要：目的探讨宫内节育器(IUD)即时放置于未育女性人工流产术后的影响因素。方法回顾性研究2021年5月至2023年3月于扬州大学附属淮安市妇幼保健院行人工流产术的未育女性80例的临床资料,根据人工流产术后患者是否即时放置IUD设为放置IUD组(50例)和未放置IUD组(30例)。比较两组一般资料,采用多因素logistic回归分析明确未育女性人工流产术后即时放置IUD的影响因素。结果放置IUD组待业、性生活频率≥4次/月、流产次数2~3次、近2年有生育需求、知道人工流产术后可立即放置IUD者占比高于未放置IUD组(P<0.05)。多因素logistic回归分析显示,待业(OR=9.487)、性生活频率≥4次/月(OR=8.975)、流产次数2~3次(OR=10.568)、近2年有生育需求(OR=9.154)、知道人工流产术后可立即放置IUD(OR=12.568)是未育女性人工流产术后IUD即时放置的影响因素(P<0.05)。结论未育女性人工流产术后即时放置IUD的影响因素为待业、性生活频率≥4次/月、流产次数2~3次、近2年有生育需求、知道人工流产术后可立即放置IUD。因此,临床应加强宣教IUD相关知识,全面推广人工流产术后关爱服务。Objective To explore the influencing factors of immediate placement of intrauterine device(IUD)in infertile women after induced abortion.Methods A retrospective study was conducted on the clinical data of 80 infertile women who underwent artificial abortion at Huaian Maternal and Child Health Hospital Affiliated to Yangzhou University from May 2021 to March 2023.According to whether the IUD was placed immediately after the artificial abortion,50 cases were placed in the IUD group and 30 cases were not placed in the non-IUD group,respectively.The general data of two groups were compared,the influencing factors of immediate placement of IUD after induced abortion in infertile women were identified through multivariate logistic regression analysis.Results The proportion of unemployed individuals in the IUD group,with a frequency of sexual activity≥4 times per month,2-3 miscarriages,fertility needs in the past 2 years,and knowing that IUD can be placed immediately after abortion surgery was higher than that in the non-IUD group(P<0.05).Multivariate logistic regression analysis showed that unemployment(OR=9.487),sexual activity frequency≥4 times/month(OR=8.975),2-3 miscarriages(OR=10.568),fertility needs in the past 2 years(OR=9.154),and knowing that IUD can be placed immediately after abortion(OR=12.568)were all influencing factors for IUD placement in infertile women after artificial abortion(P<0.05).Conclusion The influencing factors for immediate placement of IUD after induced abortion in infertile women are unemployment,frequency of sexual activity≥4 times per month,2-3 miscarriages,having fertility needs in the past 2 years,and knowing that IUD can be placed immediately after abortion.Therefore,clinical education on IUD related knowledge should be strengthened and comprehensive promotion of care services after artificial abortion should be carried out.

关 键 词：未育女性 人工流产术 宫内节育器 影响因素 

分 类 号：R713.42[医药卫生—妇产科学]