CAJ | 학술논문

目的：探讨患者接受计划生育节育手术后口服避孕药止血的相关影响因素和疗效。方法回顾性分析人工流产、上环、取环术后阴道出血时间超过2周的患者114例，给予口服避孕药止血，观察临床疗效。结果①出血时间在14~20 d的患者63例，出血时间在21~35 d的患者31例，出血时间长于35 d的患者20例。②口服避孕药止血与受术者的感染、不良分娩史、多次人工流产史、宫内残留及内分泌紊乱等因素有关。结论计划生育节育手术后口服避孕药，能减少出血量、缩短出血时间，达到止血的效果，可帮助患者恢复正常月经周期，避免再孕。
목적：탐토환자접수계화생육절육수술후구복피잉약지혈적상관영향인소화료효。방법회고성분석인공유산、상배、취배술후음도출혈시간초과2주적환자114례，급여구복피잉약지혈，관찰림상료효。결과①출혈시간재14~20 d적환자63례，출혈시간재21~35 d적환자31례，출혈시간장우35 d적환자20례。②구복피잉약지혈여수술자적감염、불량분면사、다차인공유산사、궁내잔류급내분비문란등인소유관。결론계화생육절육수술후구복피잉약，능감소출혈량、축단출혈시간，체도지혈적효과，가방조환자회복정상월경주기，피면재잉。
Objective To investigate the related factors and curative effect of oral contraceptive in treating vaginal bleeding after birth control operation. Methods In our hospital from April 2011 to June 2012, 114 cases of patients in taking oral contraceptive after induced abortion or Sheung Wan or ring extraction and vaginal bleeding last more than two weeks with clinical data were retrospectively analyzed and observed the curative effect . Results The bleeding time of 63 cases lasted for 14-20 days, 30 cases lasted for 21-35 days, 20 cases lasted for over 35 days. The related factors of oral contraceptive in treating vaginal bleeding were including infection, adverse birth history, repeated abortion history, intrauterine residue, female endocrine disorders. Conclusion Taking oral contraceptive after birth control operation can reduce the amount of bleeding and shorten the bleeding time and return to normal menstrual cycle with avoiding pregnancy.