湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
5期
46-48,49
,共4页
罗晓梅%袁秀红%李红梅%宁海云
囉曉梅%袁秀紅%李紅梅%寧海雲
라효매%원수홍%리홍매%저해운
人工流产%意外妊娠%现状%临床干预
人工流產%意外妊娠%現狀%臨床榦預
인공유산%의외임신%현상%림상간예
artificial abortion%unexpected pregnancy%present situation%clinical intervention
目的：探讨人工流产妇女意外妊娠的临床特征及临床干预效果。方法：产科门诊手术室进行临床干预前161例（对照组）与临床干预后143例（观察组）接受人工流产患者作为研究对象，自2013年3月起实施临床干预措施，对比两组患者术后再次意外妊娠发生率、避孕知识及生殖健康知识掌握情况、术后不良反应及不良心理情绪发生率。同时根据术后是否再次妊娠分为两组，对比两组患者年龄、户口性质、经济收入、文化程度、是否未婚同居、性伴侣数量、首次性行为年龄等。结果：年龄小于19岁、农村户口、月收入在2000元以下、产妇高中以下文化程度、未婚同居、性伴侣在2个以上和首次性行为在17岁以下人工流产术后患者再次意外妊娠发生率显著增高；观察组避孕知识及生殖健康知识知晓率均显著高于对照组；术后再次意外妊娠率、术后不良反应发生率以及术后不良心理发生率均显著低于对照组。结论：掌握人流术后再次意外妊娠的高危因素以及正确的临床干预对于降低术后再次意外妊娠率、有效降低患者术后不良反应及不良情绪的发生率均有重要意义。
目的：探討人工流產婦女意外妊娠的臨床特徵及臨床榦預效果。方法：產科門診手術室進行臨床榦預前161例（對照組）與臨床榦預後143例（觀察組）接受人工流產患者作為研究對象，自2013年3月起實施臨床榦預措施，對比兩組患者術後再次意外妊娠髮生率、避孕知識及生殖健康知識掌握情況、術後不良反應及不良心理情緒髮生率。同時根據術後是否再次妊娠分為兩組，對比兩組患者年齡、戶口性質、經濟收入、文化程度、是否未婚同居、性伴侶數量、首次性行為年齡等。結果：年齡小于19歲、農村戶口、月收入在2000元以下、產婦高中以下文化程度、未婚同居、性伴侶在2箇以上和首次性行為在17歲以下人工流產術後患者再次意外妊娠髮生率顯著增高；觀察組避孕知識及生殖健康知識知曉率均顯著高于對照組；術後再次意外妊娠率、術後不良反應髮生率以及術後不良心理髮生率均顯著低于對照組。結論：掌握人流術後再次意外妊娠的高危因素以及正確的臨床榦預對于降低術後再次意外妊娠率、有效降低患者術後不良反應及不良情緒的髮生率均有重要意義。
목적：탐토인공유산부녀의외임신적림상특정급림상간예효과。방법：산과문진수술실진행림상간예전161례（대조조）여림상간예후143례（관찰조）접수인공유산환자작위연구대상，자2013년3월기실시림상간예조시，대비량조환자술후재차의외임신발생솔、피잉지식급생식건강지식장악정황、술후불량반응급불양심리정서발생솔。동시근거술후시부재차임신분위량조，대비량조환자년령、호구성질、경제수입、문화정도、시부미혼동거、성반려수량、수차성행위년령등。결과：년령소우19세、농촌호구、월수입재2000원이하、산부고중이하문화정도、미혼동거、성반려재2개이상화수차성행위재17세이하인공유산술후환자재차의외임신발생솔현저증고；관찰조피잉지식급생식건강지식지효솔균현저고우대조조；술후재차의외임신솔、술후불량반응발생솔이급술후불양심리발생솔균현저저우대조조。결론：장악인류술후재차의외임신적고위인소이급정학적림상간예대우강저술후재차의외임신솔、유효강저환자술후불량반응급불량정서적발생솔균유중요의의。
ObjectiveTo discuss the present situation and clinical intervention of unexpected pregnancy after artificial abortion in 304 patients.Methods 161 patients before(the control group) and 143 patients after(the observation group) the im-plementation of clinical intervention undergone artificial abortion were analyzed, the unexpected pregnancy rate after artificial abortion, contraceptive knowledge and reproductive healthy knowledge, postoperative adverse reactions and adverse psycho-logical occurrence rate were contrasted between the two groups. Then 304 patients were divided into two groups according to with or without unexpected pregnancy after artificial abortion to discuss the related factors.Results The pregnancy rate after the accidental in patients less than 19 years, rural registered permanent residence, monthly income less than 2000 yuan, less than high school education, the unmarried cohabitation, sexual partners more than 2 and the first sexual behavior at the age of 17 years were increased significantly; master rate of contraceptive knowledge and awareness rate of reproductive healthy knowledge in the observation group were significantly higher than the control group; unexpected pregnancy rate 1 year after artificial abor-tion, postoperative adverse reactions and adverse psychological occurrence rate in the observation group were significantly lower than the control group.Conclusion Master the risk factors of unexpected pregnancy after artificial abortion and correctly clini-cal intervention can reduce postoperative unexpected pregnancy rate, effectively reduce the postoperative adverse reactions and adverse emotional occurrence rate has important significance.
