人工流产后口服复方短效避孕药临床探究.docVIP

人工流产后口服复方短效避孕药临床探究 　 作者：龙旭,王瑞英,钟玲,刘洋 【摘要】 　　目的　探讨人工流产后服用复方短效口服避孕药对阴道流血量、阴道流血时间，月经恢复时间及月经恢复的影响。方法272例人工流产者分为两组，治疗组130例，于人工流产后立即服用复方短效口服避孕药尤思敏、抗生素及益母草胶囊；对照组142例仅在人流术后使用抗生素和益母草胶囊。结果治疗组阴道流血量及阴道流血时间与对照组有显著性差异（P＜0.05），术后月经恢复正常比例明显高于对照组（P＜0.01）。结论人流术后使用口服避孕药既可做到有效避孕，又能明显的减少阴道流血时间和流血量，促进月经周期的恢复。 【关键词】 复方短效口服避孕药 ; 人工流产 　　AbstractObjectiveTo discuss the effect of short-acting combined oral contraceptive after induced abortion on the volume of vaginal bleeding, the duration of vaginal bleeding, the time of menses return and the menstruation recovery. Methods272 cases of induced abortion were divided into 2 groups: treatment group (n=130) and control group (n=142); antibiotics and leonurus japonicus capsules were administrated to patients in both groups after induced abortion while the short-acting combined oral contraceptive, Yasmin, was added to patients in treatment group immediately after induced abortion. ResultsThe volume of vaginal bleeding and the duration of vaginal bleeding in treatment group and those in control group were quite different (P＜0.05); the percentage of menstruation recovery after abortion in treatment group was much higher than that in control group (P＜0.01). ConclusionsThe application of combined oral contraceptive after induced abortion can not only provide contraceptive effect but also can obviously shorten the duration of vaginal bleeding, decrease the bleeding volume and promote the menstruation recovery. 　　KEYWORDScombined oral contraceptiveinduced abortion 　　人工流产是避孕失败后的一种补救措施，人工流产虽是一种安全、简便的手术，但其近期、远期并发症亦逐渐引起全社会的高度重视，尤其针对高重复流产人群，宫腔与盆腔的感染等会严重影响女性的生殖健康。如何提高避孕节育措施的落实，降低人工流产率，是WHO生殖健康战略关注的领域之一。本文就我院2009.06~2010.02期间进行人工流产患者，在流产后即给予复方短效口服避孕药，探讨其在人流后避孕、控制月经周期和预防人工流产并发症中的作用，现总结如下。 　　1资料与方法 　　1.1一般资料选取2009.06~2010.02就诊于我院妇科门诊的272例人工流产患者，年龄在18~38岁，身体健康、月经规律、无口服避孕药的禁忌症，停经天数在70天内，临床诊断为宫内早孕，无人工流产禁忌症。分为治疗组130例，年龄18~37岁，平均26.7岁，未采用任何避孕方式者占75.7%，末次妊娠行人工流产者占74.3%，半年内重复流产者占17.14%；对照组142例，年龄18~35岁，平均27.1岁，未采用任何避孕方式者占63.9 %，末次妊娠行人工流产者占57.4%，半年内重复