[1]倪飞英*,段洁,赵芳,等.高危人群人工流产后立即高效避孕的临床观察[J].中国计划生育和妇产科,2017,(4):45- 47,59.
　NI Fei-ying*,DUAN Jie,ZHAO Fang,et al.Clinical observation of high effective contraception immediately after induced abortion in high risk population[J].Chinese Journal of Family Planning & Gynecotokology,2017,(4):45- 47,59.
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高危人群人工流产后立即高效避孕的临床观察
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年4期
页码:
45- 47,59
栏目:
论著与临床
出版日期:
2017-04-25

文章信息/Info

Title:
Clinical observation of high effective contraception immediately after induced abortion in high risk population
作者:
倪飞英*; 段洁; 赵芳; 陈莹莹; 马玲玲
遵义市妇幼保健院妇产科
Author(s):
NI Fei-ying*; DUAN Jie; ZHAO Fang; CHEN Ying-ying; MA Ling-ling
Department of Gynecology and Obstetrics, Maternal and Child Health Care Hospital of Zunyi， Zunyi Guizhou 563003，P.R. China
关键词:
人工流产; 圆形含铜含吲哚美辛宫内节育器; 短效避孕药; 避孕; 宫腔粘连
Keywords:
abortion;  round copper containing indometacin intrauterine device ; oral short-acting contraceptives; contraception; intrauterine adhesion
分类号:
R 7143
摘要:
目的探讨高危人群人工流产术后立即放置宫内节育器（intrauterine device，IUD）或口服复方短效避孕药，对人工流产后出血、感染、月经恢复、宫腔粘连以及再次意外妊娠的影响。方法将要求终止早孕的重复（≥3次）或高危人工流产者400例分为两组，每组200例。观察组人工流产术后立即放置圆形含铜含吲哚美辛IUD,对照组人工流产术后立即口服屈螺酮炔雌醇片避孕。结果两组术后出血量、出血时间、术后感染情况比较差异无统计学意义（P>005），而两组术后月经恢复，闭经、痛经、宫腔粘连，术后12个月内意外妊娠的发生情况比较差异有统计学意义(P<005)。结论高危人群人工流产后立即采取高效避孕措施是安全、可靠、有效的。IUD在高效避孕的同时还有助于术后月经恢复，减少闭经痛经发生，预防宫腔粘连，降低术后12个月内再次意外妊娠的发生。对于短期无生育要求（指2年内无生育计划）者，建议人工流产术后立即放置IUD。
Abstract:
ObjectiveTo investigate the effect of immediate contraceptive use of intrauterine device or oral compound short-acting contraceptive pill on bleeding, infection, menstrual recovery, intrauterine adhesions, and unplanned pregnancy after high-risk induced abortion.Methods400 cases required termination of early pregnancy repeat (≥ 3 times) or high-risk abortion were divided into two groups randomly.Round copper containing indometacin intrauterine device was inserted immediately after abortion in the study group.And the control group was administrated drospirenone orally immediately after induced abortion. ResultsThere were no significant differences in bleeding volume, bleeding time and postoperative infection between the two groups(P>005), but there were significant differences in menstrual recovery, amenorrhea, dysmenorrhea, intrauterine adhesions and the incidence of unplanned pregnancy within 12 months after operation (P<005). ConclusionImmediate use of contraceptive methods after abortion for high-risk population is safe, reliable and effective contraceptive methods. For people with short-term non-fertility requirements(2 years without childbirth plan), abortion immediately after the placement of IUD is suggested. It is efficient in contraception,helps menstrual recovery post surgery, reduces the occurrence of amenorrhea dysmenorrhea, prevents intrauterine adhesions and reduces the occurrence of unwanted pregnancies 12 months postoperative.

参考文献/References:

［1］曹泽毅．中华妇产科学 ［M］．第3版．北京：人民卫生出版社，2014：3075． ［2］范光升．屈螺酮炔雌醇片:四重保护流产后女性 ［Z］，2011． ［3］中华医学会计划生育学分会．人工流产后计划生育服务指南 ［J］．中国实用乡村医生杂志，2012，19 （20）：16-18． ［4］方爱华，王益鑫．计划生育技术 ［M］．第3版．上海：上海科学技术出版社，2012：82． ［5］吴尚纯，邹燕．宫内节育器应用现状与研究进展 ［J］．中国妇科与产科杂志，2009，25 （10）：749-751． ［6］黄丽云．人工流产次数与继发不孕的相关因素分析 ［J］．中国妇幼保健，2009，24 （2）：218-220． ［7］范丽芳．人工流产后放置宫内节育器的时机选择 ［J］．中国实用医药，2012，7 （9）：63-64． ［8］赵玉梅，熊锦文，徐红，等．人工流产后即时放置纳米铜宫喜宫内节育器的临床观察 ［J］．武警医学，2008，19 （11）：1017-1019． ［9］方爱华．人工流产与宫腔粘连 ［J］．实用妇产科杂志，2007，23 （7）：391-393．

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备注/Memo

备注/Memo:
遵义市科技计划课题（项目编号: 遵市科合社字［2014］49号）
更新日期/Last Update: 2017-04-25