传统和无痛人工流产术式选择对重复流产的影响(1)
【摘要】 目的 探讨传统和无痛人工流产对重复流产的影响。方法 339例接受人工流产术的患者， 根据术式的不同分为A组 (给予无痛人工流产术， 225例)和B组 (给予传统人工流产术， 114例)。对比两组效果。结果 A组12个月内重复流产率(31.6%)高于B组， 主动了解避孕知识率(46.7%)、立即采取有效避孕措施率(39.1%)低于B组 (P<0.05)。A组未遵医嘱1个月内恢复性生活156例(69.3%)， B组48例(42.1%)；A组6个月内再次妊娠117例(52.0%)， B组27例(23.7%)；A组均多于B组(P<0.05)。A组71例重复流产者较前次流产更害怕者22例(31.0%)， B组23例重复流产者较前次流产更害怕者4例(17.4%)， A组多于B组(P<0.05)。结论 无痛人工流产虽可减轻流产者的痛苦， 但会一定程度增加重复流产的风险， 需对流产妇女进行有效的计划生育和流产后服务工作。
【关键词】 无痛人工流产；重复流产；避孕
DOI：10.14163/j.cnki.11-5547/r.2016.26.024
【Abstract】 Objective To investigate influence by traditional and painless artificial abortion on repeated abortion. Methods A total of 339 patients receiving artificial abortion were divided by different operative measures into group A (received painless artificial abortion， 225 cases) and group B (received traditional artificial abortion， 114 cases). Effects were compared between the two groups. Results Group A had higher repeated abortion rate within 12 months (31.6%) than group B， and its initiative contraception knowledge acquirement rate (46.7%) and effective contraception measure implement rate (39.1%) were lower than group B (P<0.05). There were 156 noncompliance cases restroing sexual activity within 1 month in group A (69.3%) and 48 cases in group B (42.1%). There were 117 cases with subsequent pregnancy within 6 months in group A (52.0%) and 27 cases in group B (23.7%). Group A had all more cases than group B (P<0.05). Among 71 repeated abortion cases in group A， 22 cases of them were more afraid (31.0%). Among 23 repeated abortion cases in group B， 4 cases were more afraid (17.4%). Group A had more cases than group B (P<0.05). Conclusion Painless artificial abortion can relieve pain in patients， but it will increase risk of repeated abortion. It is necessary to provide effective birth control and post-abortion service.
【Key words】 Painless artificial abortion； Repeated abortion； Contraception
近年来， 随着医疗技术的进步， 无痛人工流产术逐渐被应用于临床。我国每年平均流产率高达29.4%， 重复流产率高， 部分地区重复流产率高达50%以上， 而6个月内重复流产是手术流产的主要原因之一[1]。由此可见， 选用合理流产术降低流产率特别是重复流产率是临床产科医生关心的问题。本研究对比传统和无痛人工流产术式对重复流产的影响， 为降低重复流产率选用合适的术式提供临床参考， 报告如下。
1 资料与方法
1. 1 一般资料 选取2014年5月～2015年5月本院妇产科门诊339例接受人工流产术的患者， 根据术式的不同分为A组 (225例)和B组 (114例)。A组年龄17～31岁， 平均年龄(23.7±2.5)岁；已婚79例；流产次数1～3次。B组年龄18～32岁， 平均年龄(23.8±2.8)岁；已婚16例；流产次数1～3次。两组年龄、婚姻状况、流产次数等一般资料比较， 差异无统计学意义(P>0.05)， 具有可比性。研究对象均为自愿参加， 且12个月内无妊娠计划。
1. 2 方法 A组给予无痛人工流产术， 采用芬太尼和丙泊酚静脉麻醉方法进行流产。B组给予传统人工流产术， 采用传统的负压吸引术进行流产。对患者进行电话随访12个月。观察两组12个月内重复流产、主动了解避孕知识、立即采取有效避孕措施、术后恢复性生活、再次妊娠、重复流产者前后两次人工流产心理状况。, http://www.100md.com(张瑞花)
【关键词】 无痛人工流产；重复流产；避孕
DOI：10.14163/j.cnki.11-5547/r.2016.26.024
【Abstract】 Objective To investigate influence by traditional and painless artificial abortion on repeated abortion. Methods A total of 339 patients receiving artificial abortion were divided by different operative measures into group A (received painless artificial abortion， 225 cases) and group B (received traditional artificial abortion， 114 cases). Effects were compared between the two groups. Results Group A had higher repeated abortion rate within 12 months (31.6%) than group B， and its initiative contraception knowledge acquirement rate (46.7%) and effective contraception measure implement rate (39.1%) were lower than group B (P<0.05). There were 156 noncompliance cases restroing sexual activity within 1 month in group A (69.3%) and 48 cases in group B (42.1%). There were 117 cases with subsequent pregnancy within 6 months in group A (52.0%) and 27 cases in group B (23.7%). Group A had all more cases than group B (P<0.05). Among 71 repeated abortion cases in group A， 22 cases of them were more afraid (31.0%). Among 23 repeated abortion cases in group B， 4 cases were more afraid (17.4%). Group A had more cases than group B (P<0.05). Conclusion Painless artificial abortion can relieve pain in patients， but it will increase risk of repeated abortion. It is necessary to provide effective birth control and post-abortion service.
【Key words】 Painless artificial abortion； Repeated abortion； Contraception
近年来， 随着医疗技术的进步， 无痛人工流产术逐渐被应用于临床。我国每年平均流产率高达29.4%， 重复流产率高， 部分地区重复流产率高达50%以上， 而6个月内重复流产是手术流产的主要原因之一[1]。由此可见， 选用合理流产术降低流产率特别是重复流产率是临床产科医生关心的问题。本研究对比传统和无痛人工流产术式对重复流产的影响， 为降低重复流产率选用合适的术式提供临床参考， 报告如下。
1 资料与方法
1. 1 一般资料 选取2014年5月～2015年5月本院妇产科门诊339例接受人工流产术的患者， 根据术式的不同分为A组 (225例)和B组 (114例)。A组年龄17～31岁， 平均年龄(23.7±2.5)岁；已婚79例；流产次数1～3次。B组年龄18～32岁， 平均年龄(23.8±2.8)岁；已婚16例；流产次数1～3次。两组年龄、婚姻状况、流产次数等一般资料比较， 差异无统计学意义(P>0.05)， 具有可比性。研究对象均为自愿参加， 且12个月内无妊娠计划。
1. 2 方法 A组给予无痛人工流产术， 采用芬太尼和丙泊酚静脉麻醉方法进行流产。B组给予传统人工流产术， 采用传统的负压吸引术进行流产。对患者进行电话随访12个月。观察两组12个月内重复流产、主动了解避孕知识、立即采取有效避孕措施、术后恢复性生活、再次妊娠、重复流产者前后两次人工流产心理状况。, http://www.100md.com(张瑞花)