高危人工流产术后即时落实不同避孕方法的临床应用分析(1)
[摘要]目的 观察分析高危人工流产术后立即放置宫内节育器、口服短效避孕药及避孕套的临床疗效。方法 回顾性分析2014年2月～2015年2月在我院行高危人工流产术后立即落实不同避孕方法的300例患者的临床资料，按患者意愿分为三组，各100例。A组均使用V型含铜含吲哚美辛宫内节育器，B组均口服短效避孕药(优思明)，C组采用避孕套避孕，术后随访观察重复流产、不规则出血、感染、月经异常、闭经等的发生情况。结果 A、B两组人工流产术后1、3、6、12个月内重复流产人数明显少于C组，差异有统计学意义(P<0.5)；三组术后感染、闭经、阴道不规则出血、痛经的发生人数比较，差异有统计学意义(P<0.5)。结论 对高危人工流产术后立即落实宫内节育器或短效避孕药等高效可逆的避孕方法，有利于降低重复流产率，减少术后并发症，降低对生殖健康的不利影响，值得在临床上推广。
[关键词]高危；人工流产；即时落实；避孕方法；临床应用
[中图分类号] R169.41 [文献标识码] A [文章编号] 1674-4721(2016)12(a)-0082-03
Analysis of the clinical application of different contraceptive methods carried at the immediate postoperative of high-risk abortion
CHEN Hai-ping ZHOU Jing-jun
Pingxiang Maternal and Child Care Service Centre of Jiangxi Province，Pingxiang 337055，China
[Abstract]Objective To observe and analyze the clinical effects of the condom，short-acting oral contraceptives，and placed intrauterine device for patients with high-risk abortion immediately.Methods Clinical data of 300 cases from February 2014 to February 2015 carried out the different contraceptive methods in our hospital after a high-risk abortion was retrospectively analyzed，according to the intention patients were divided into three groups，with 100 cases in each group.Group A was given the V copper containing indomethacin intrauterine device，group B was given a short-acting oral contraceptives (Yasmin)，group C was given condoms for birth control.The occurrence of repeated spontaneous abortion，irregular bleeding，infection，menstruation is abnormal，amenorrhea was observed in postoperative follow-up.Results 1，3，6，12 months after artificial abortion operation，number of patients with repeated miscarriage in the group A and group B was less than that of the group C，the difference was statistically significant (P<0.05)；the number of patients with postoperative infections，amenorrhea，irregular vaginal bleeding，menstrual cramps of the three groups had statistically significant difference (P<0.5).Conclusion The intrauterine device or short-acting contraceptives is a efficient reversible and birth control methods for patients with high-risk abortion postoperative immediately，it can reduce the rate of repeated abortion and postoperative complications，and lower the adverse effects of reproductive health，is worthy of clinical application.
[Key words]High-risk；Abortion；Implementation of instant；Contraceptive methods；Clinical application
我國近年每年约有1300万例人工流产[1]，人工流产对妇女身心均有不同程度的不利影响，尤其是对今后生育的影响更是不容忽视[2]，随着二孩政策的开放，高危人流也明显增多，已有研究表明，人工流产的高危因素中，可预防的因素占72.2%[3]，人工流产后是否即刻放置避孕环存在一定争议[4]。本研究对高危人工流产术后即时落实V型含铜含吲哚美辛宫内节育器、短效避孕药(优思明)及避孕套三种方法进行对比研究，现报道如下。 (陈海萍 周婧君)
[关键词]高危；人工流产；即时落实；避孕方法；临床应用
[中图分类号] R169.41 [文献标识码] A [文章编号] 1674-4721(2016)12(a)-0082-03
Analysis of the clinical application of different contraceptive methods carried at the immediate postoperative of high-risk abortion
CHEN Hai-ping ZHOU Jing-jun
Pingxiang Maternal and Child Care Service Centre of Jiangxi Province，Pingxiang 337055，China
[Abstract]Objective To observe and analyze the clinical effects of the condom，short-acting oral contraceptives，and placed intrauterine device for patients with high-risk abortion immediately.Methods Clinical data of 300 cases from February 2014 to February 2015 carried out the different contraceptive methods in our hospital after a high-risk abortion was retrospectively analyzed，according to the intention patients were divided into three groups，with 100 cases in each group.Group A was given the V copper containing indomethacin intrauterine device，group B was given a short-acting oral contraceptives (Yasmin)，group C was given condoms for birth control.The occurrence of repeated spontaneous abortion，irregular bleeding，infection，menstruation is abnormal，amenorrhea was observed in postoperative follow-up.Results 1，3，6，12 months after artificial abortion operation，number of patients with repeated miscarriage in the group A and group B was less than that of the group C，the difference was statistically significant (P<0.05)；the number of patients with postoperative infections，amenorrhea，irregular vaginal bleeding，menstrual cramps of the three groups had statistically significant difference (P<0.5).Conclusion The intrauterine device or short-acting contraceptives is a efficient reversible and birth control methods for patients with high-risk abortion postoperative immediately，it can reduce the rate of repeated abortion and postoperative complications，and lower the adverse effects of reproductive health，is worthy of clinical application.
[Key words]High-risk；Abortion；Implementation of instant；Contraceptive methods；Clinical application
我國近年每年约有1300万例人工流产[1]，人工流产对妇女身心均有不同程度的不利影响，尤其是对今后生育的影响更是不容忽视[2]，随着二孩政策的开放，高危人流也明显增多，已有研究表明，人工流产的高危因素中，可预防的因素占72.2%[3]，人工流产后是否即刻放置避孕环存在一定争议[4]。本研究对高危人工流产术后即时落实V型含铜含吲哚美辛宫内节育器、短效避孕药(优思明)及避孕套三种方法进行对比研究，现报道如下。 (陈海萍 周婧君)