CAJ | 학술논문

目的：探讨对人工流产女性实施流产后关爱服务干预的临床效果。方法选取2014年1~10月在四川省人民医院妇产科进行人工流产的育龄女性893例为研究对象，以2014年1~5月接受传统模式讲解人工流产风险及术后注意事项的432例患者为对照组；2014年6~10月实施流产后关爱服务，并于手术后当天开始服用屈螺酮炔雌醇片的461例患者为研究组。比较两组患者术后阴道流血持续时间、阴道流血量、月经复潮时间、月经量改变情况，以及人工流产术后3、6个月避孕措施、高效避孕措施使用率，术后6个月再次流产率。结果研究组患者术后阴道流血量、阴道流血持续时间、再次流产率均明显低于对照组，差异均有统计学意义（P<0.05）。研究组患者避孕措施、高效避孕措施使用率均高于对照组，差异均有统计学意义（P<0.05）。结论流产后关爱服务能提高女性科学避孕意识，同时，人工流产术后即时服用口服避孕药，能有效减少人工流产术后并发症，降低再次流产率，值得临床广泛推广应用。
목적：탐토대인공유산녀성실시유산후관애복무간예적림상효과。방법선취2014년1~10월재사천성인민의원부산과진행인공유산적육령녀성893례위연구대상，이2014년1~5월접수전통모식강해인공유산풍험급술후주의사항적432례환자위대조조；2014년6~10월실시유산후관애복무，병우수술후당천개시복용굴라동결자순편적461례환자위연구조。비교량조환자술후음도류혈지속시간、음도류혈량、월경복조시간、월경량개변정황，이급인공유산술후3、6개월피잉조시、고효피잉조시사용솔，술후6개월재차유산솔。결과연구조환자술후음도류혈량、음도류혈지속시간、재차유산솔균명현저우대조조，차이균유통계학의의（P<0.05）。연구조환자피잉조시、고효피잉조시사용솔균고우대조조，차이균유통계학의의（P<0.05）。결론유산후관애복무능제고녀성과학피잉의식，동시，인공유산술후즉시복용구복피잉약，능유효감소인공유산술후병발증，강저재차유산솔，치득림상엄범추엄응용。
Objective To investigate the clinical effect of implementing the post-abortion care(PAC) service intervention in females undergoing artificial abortion. Methods 893 childbearing women undergoing artificial abortion in the obstetrics and gynecology department of our hospital from January to October 2014 were selected as the research subjects. The PAC services were started to be implemented in our hospital from June 2014. Therefore ,432 cases from January to May 2014 were selected as the control group and received the traditional patterns for explaining the artificial abortion risk and postoperative matters needing attention;461 cases from June to October 2014 as the study group were implemented the PAC services and took drospirenone and ethinylestradiol on the day after operation. The postoperative vaginal bleeding duration,vaginal bleeding volume,postoperative menstrual recovery time,postoperative menstrual quantity changes,contraception measures at 3,6 months after artificial abortion operation,use rate of highly efficient contraceptive measures,contraceptive measures at 6 months after operation and repeated abortion rate were compared between the two groups. Results Postoperative vaginal bleeding,bleeding duration and repeated abortion rate in the study group were significantly lower than those in the control group ,and the differences were statistically sig-nificant(P<0.05). The use rate of contraceptive measures and use rate of highly efficient contraceptive measures in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05). Conclusion The PAC ser-vices can raise the awareness of scientific contraception for females. At the same time immediately taking oral contraceptive drugs after artificial abortion operation can effectively reduce the complications of artificial abortion ,reduces the repeated abortion rate and is worth of being widely promoted and applied in clinic.