泰山医学院学报
泰山醫學院學報
태산의학원학보
JOURNAL OF TAISHAN MEDICAL COLLEGE
2015年
2期
184-186
,共3页
人工流产%婚育史%术后恢复%流产后关爱
人工流產%婚育史%術後恢複%流產後關愛
인공유산%혼육사%술후회복%유산후관애
artificial abortion%the birth history%postoperative recovery%Post - Abortion Care
目的：了解兰山区人工流产妇女的婚育史及人工流产术后子宫、月经恢复情况。方法采用流行病学、病例对照、回顾性分析的方法，随机选取2000例孕早期行人工流产者，填写调查表，分析婚育史，术后进行流产后关爱宣教。将受术者分为初次流产者和高危流产者两组，分析术后2周尿 HCG、子宫内膜、宫腔恢复、月经复潮及有无宫腔粘连。结果人工流产者中未婚716人，已婚1284人。初次流产者1032人，高危流产者968人。2000例人工流产者术后2周子宫内膜平均厚度为6.91±1.94 mm，术后流血时间平均为3.87±2.49天，月经复潮平均为30.66±5.41天。初次流产组术后2周尿 HCG 转阴、子宫内膜、宫腔残留、流血时间、月经复潮时间、初次月经量、术后宫腔粘连方面与高危流产组有统计学差异（ P 均＜0.001）。结论初次流产者术后子宫及月经能够及时恢复，高危流产者术后易出现宫腔残留、宫腔粘连、月经不调等并发症。我院开展人工流产后关爱以来，加强了流产前宣教、流产后复查工作，减少非意愿妊娠、不良妊娠的发生，降低人工流产对于女性生殖健康的影响。
目的：瞭解蘭山區人工流產婦女的婚育史及人工流產術後子宮、月經恢複情況。方法採用流行病學、病例對照、迴顧性分析的方法，隨機選取2000例孕早期行人工流產者，填寫調查錶，分析婚育史，術後進行流產後關愛宣教。將受術者分為初次流產者和高危流產者兩組，分析術後2週尿 HCG、子宮內膜、宮腔恢複、月經複潮及有無宮腔粘連。結果人工流產者中未婚716人，已婚1284人。初次流產者1032人，高危流產者968人。2000例人工流產者術後2週子宮內膜平均厚度為6.91±1.94 mm，術後流血時間平均為3.87±2.49天，月經複潮平均為30.66±5.41天。初次流產組術後2週尿 HCG 轉陰、子宮內膜、宮腔殘留、流血時間、月經複潮時間、初次月經量、術後宮腔粘連方麵與高危流產組有統計學差異（ P 均＜0.001）。結論初次流產者術後子宮及月經能夠及時恢複，高危流產者術後易齣現宮腔殘留、宮腔粘連、月經不調等併髮癥。我院開展人工流產後關愛以來，加彊瞭流產前宣教、流產後複查工作，減少非意願妊娠、不良妊娠的髮生，降低人工流產對于女性生殖健康的影響。
목적：료해란산구인공유산부녀적혼육사급인공유산술후자궁、월경회복정황。방법채용류행병학、병례대조、회고성분석적방법，수궤선취2000례잉조기행인공유산자，전사조사표，분석혼육사，술후진행유산후관애선교。장수술자분위초차유산자화고위유산자량조，분석술후2주뇨 HCG、자궁내막、궁강회복、월경복조급유무궁강점련。결과인공유산자중미혼716인，이혼1284인。초차유산자1032인，고위유산자968인。2000례인공유산자술후2주자궁내막평균후도위6.91±1.94 mm，술후류혈시간평균위3.87±2.49천，월경복조평균위30.66±5.41천。초차유산조술후2주뇨 HCG 전음、자궁내막、궁강잔류、류혈시간、월경복조시간、초차월경량、술후궁강점련방면여고위유산조유통계학차이（ P 균＜0.001）。결론초차유산자술후자궁급월경능구급시회복，고위유산자술후역출현궁강잔류、궁강점련、월경불조등병발증。아원개전인공유산후관애이래，가강료유산전선교、유산후복사공작，감소비의원임신、불량임신적발생，강저인공유산대우녀성생식건강적영향。
Objective:To understand the birth history,the postoperative recovery of uterus and menses of artificial abor-tion. Methods:By the epidemiology,case - control and retrospective analysis method,randomly select 2000 cases of artificial abortion in early pregnancy,fill in the questionnaires,analysis on the birth history,give postoperative abortion care educa-tion. Women were divided into the first abortion and high - risk abortion,to analysis urine HCG,endometrium,intrauterine residue after 2 weeks,menses and intrauterine adhesions. Results:716 women were unmarried,1284 women were mar-ried. 1032 women were the first abortion,968 women were the high - risk abortion. The average endometrium after 2 weeks was 6. 91 ± 1. 94 mm,the average bleeding time was 3. 87 ± 2. 49 天,menses was 30. 66 ± 5. 41 天 . There was significant difference between the two groups on urine HCG,endometrium,intrauterine residue after 2 weeks,bleeding time,menses, menstrual quantity,and intrauterine adhesions(P < 0. 001). Conclusions:The first abortion women could timely recover-y. The high - risk abortion were accompanied with complications. Our hospital carried out PAC to education the women and strengthen review work,about contraceptive knowledge to reduce the influence of artificial abortion for womenˊs reproductive health.
