CAJ | 학술논문

目的：了解女性人工流产状况、避孕现状及其影响因素，为合理采用避孕措施、提高女性生殖健康水平提供参考依据。方法对在长沙市妇幼保健院行人工流产术的3260例妇女进行问卷调查，其中合格问卷3056份。收集调查对象的婚育史、流产史、获得避孕节育知识的途径、避孕方法的使用、避孕知识掌握情况、意外妊娠原因等情况，进行统计分析，并提出应对措施。结果未婚人工流产1449例（47.41%），已婚人工流产1607例（52.59%）；避孕失败2177例（71.24%），其中采用避孕套失败的653例（21.37%），未采取避孕措施879例（28.76%）；两次以上的重复人工流产2067例（67.64%）。多因素分析结果显示：受教育程度、经济水平和避孕知识掌握情况为重复人工流产的危险因素（ P <0.05）。结论避孕失败是人工流产的主要因素，未婚女性所占比例与已婚女性相近；应对未婚女性施以正确、专业的生殖健康和避孕知识教育；受教育程度、经济水平和避孕知识掌握情况对重复人工流产具有影响。
목적：료해녀성인공유산상황、피잉현상급기영향인소，위합리채용피잉조시、제고녀성생식건강수평제공삼고의거。방법대재장사시부유보건원행인공유산술적3260례부녀진행문권조사，기중합격문권3056빈。수집조사대상적혼육사、유산사、획득피잉절육지식적도경、피잉방법적사용、피잉지식장악정황、의외임신원인등정황，진행통계분석，병제출응대조시。결과미혼인공유산1449례（47.41%），이혼인공유산1607례（52.59%）；피잉실패2177례（71.24%），기중채용피잉투실패적653례（21.37%），미채취피잉조시879례（28.76%）；량차이상적중복인공유산2067례（67.64%）。다인소분석결과현시：수교육정도、경제수평화피잉지식장악정황위중복인공유산적위험인소（ P <0.05）。결론피잉실패시인공유산적주요인소，미혼녀성소점비례여이혼녀성상근；응대미혼녀성시이정학、전업적생식건강화피잉지식교육；수교육정도、경제수평화피잉지식장악정황대중복인공유산구유영향。
Objective TO investigate the status Of induced abOrtiOn and cOntracePtiOn Of wOmen in Changsha city,tO exPlOre the influence factOrs. TO PrOvide reference fOr aPPrOPriate cOntracePtive measures and imPrOve level Of wOmenˊs rePrOductive health. Methods 3 260 cases underwent artificial abOrtiOn in Our hOsPital were surveyed by questiOnnaire,3 056 questiOnnaires were available,which including Obstetrical histOry,histOry Of induced abOrtiOn, access tO cOntracePtiOn knOwledge,cOntracePtive methOds,acquirement Of cOntracePtiOn knOwledge,reasOns fOr unwanted Pregnancy,et al. The survey was analyzed and advices were Offered. Results 1 449 cases were unmarried abOrtiOn(47. 41% ),while 1 607 cases were married abOrtiOn(52. 59% ). 2 177 cases were cOntracePtive failure (71. 24% ),in which 653 cases had used cOndOms(21. 37% ). 879 cases withOut taking cOntracePtive measures (28. 76% ). 2 067 cases underwent twice Or mOre induced abOrtiOns(67. 64% ). Multivariate analysis alsO shOwed that educatiOn,ecOnOmic level and cOntracePtiOn knOwledge level are the risk factOrs fOr rePeat induced abOrtiOn( P <0. 05). Conclusion COntracePtive failure is a majOr factOr Of induced abOrtiOn,the PrOPOrtiOn Of unmarried wOmen is similar tO married wOmen,unmarried wOmen shOuld be Offered tO rePrOductive health knOwledge and cOntracePtive educatiOn. The research alsO shOws that educatiOn degree,ecOnOmic level and cOntracePtive knOwledge level has an effect On rePeat induced abOrtiOn.