对419例无痛人工流产女性的回顾性调查分析
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摘要
目的了解我院无痛人工流产术(后称无痛人流)的相关情况,为更好的提供计划生育服务、促进妇女生殖健康提供依据。方法对2017年5月至2017年11月于西南医科大学附属中医医院行无痛人流的456名妇女进行电话回访,回顾分析。结果 456人中37人失访,有419人纳入本次研究。年龄最大43岁,最小18岁,平均(28.6±6.5)岁,20～29岁年龄段的54.6%,已婚的74.5%,重复流产的58.7%,长期居住在城市的90.9%,大专及其以上的64.4%。是否有生育要求对重复流产率无明显影响(P<0.05)。有148人表示无痛人流引起了月经异常或加重原有月经异常,占总人数的35.3%,重复流产后月经异常比例高于初次流产的(P<0.05),20～29岁年龄段无痛人流术后月经异常的比例最低(P<0.05)。419名研究对象中,知道PAC(流产后计划生育服务)的只有4.3%,接受PAC仅占1.2%,了解PAC后愿意接受PAC的占88.5%。结论在我院行无痛人流的女性中,20～29岁年龄段、已婚、重复流产、长期居住在城市、大专文化水平的比例高。年龄、重复流产是无痛人流术月经异常的影响因素。无痛人流术后的女性对PAC有需求,我院的PAC开展情况并不理想。互联网+PAC可能是切实有效地开展PAC的可行途径之一。
Objective To understand the situation of painless artificial abortion in our hospital, and to provide a basis for better providing family planning services and promoting women's reproductive health. Methods 456 women with painless abortion from May 2017 to November 2017 were interviewed by telephone and analyzed retrospectively. Results 37 out of 456 people were not interviewed and 419 were included in the study. The oldest is 43 years old, the youngest is 18 years old, the average is(28.6±6.5) years old, 54.6% of the 20～29 age group, 74.5% of married people, 58.7% of repeated abortions, 90.9% of long-term residents living in cities, junior colleges and their Above 64.4%. Whether there is a fertility requirement has no significant effect on repeated abortion rates(P<0.05). 148 people said that painless abortion caused menstrual abnormalities or aggravated the original menstrual abnormalities,accounting for 35.3% of the total number. The proportion of menstrual abnormalities after repeated abortion was higher than that of the first abortion(P<0.05), and the proportion of menstrual abnormalities after painless abortion in the 20～29 age group was the lowest(P<0.05). Of the 419 subjects, only 4.3% knew PAC, only 1.2% received PAC, 88. 5% were willing to accept PAC after knowing PAC.Conclusion Among the women who have no pain in our hospital, the proportion of 20～29 years old, married, repeated abortion,long-term residence in cities and colleges and universities is high. Age and repeated abortion are the influencing factors of menstrual abnormalities in painless abortion. There is a demand for PAC in women after painless abortion, and the PAC development in our hospital is not satisfactory. Internet + PAC may be one of the feasible ways to effectively carry out PAC.
Objective To understand the situation of painless artificial abortion in our hospital, and to provide a basis for better providing family planning services and promoting women's reproductive health. Methods 456 women with painless abortion from May 2017 to November 2017 were interviewed by telephone and analyzed retrospectively. Results 37 out of 456 people were not interviewed and 419 were included in the study. The oldest is 43 years old, the youngest is 18 years old, the average is(28.6±6.5) years old, 54.6% of the 20～29 age group, 74.5% of married people, 58.7% of repeated abortions, 90.9% of long-term residents living in cities, junior colleges and their Above 64.4%. Whether there is a fertility requirement has no significant effect on repeated abortion rates(P<0.05). 148 people said that painless abortion caused menstrual abnormalities or aggravated the original menstrual abnormalities,accounting for 35.3% of the total number. The proportion of menstrual abnormalities after repeated abortion was higher than that of the first abortion(P<0.05), and the proportion of menstrual abnormalities after painless abortion in the 20～29 age group was the lowest(P<0.05). Of the 419 subjects, only 4.3% knew PAC, only 1.2% received PAC, 88. 5% were willing to accept PAC after knowing PAC.Conclusion Among the women who have no pain in our hospital, the proportion of 20～29 years old, married, repeated abortion,long-term residence in cities and colleges and universities is high. Age and repeated abortion are the influencing factors of menstrual abnormalities in painless abortion. There is a demand for PAC in women after painless abortion, and the PAC development in our hospital is not satisfactory. Internet + PAC may be one of the feasible ways to effectively carry out PAC.
引文
[1]国家卫生和计划生育委员会.2017中国卫生和计划生育统计年鉴[M].北京:中国协和医科大学出版社,2017:225-227.
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[7]陈海楠,胡晓宇,许洁霜.医院内提供流产后计划生育服务的可行性研究[J].中国计划生育学杂志,2015,23(10):659-663.
[8]林少英,邓玉环,郑玉华,等.信息管理系统与微信在流产后服务随访中的应用[J].护理学杂志,2018,33(21):12-14.
[2]吴尚纯,张文,顾向应.人工流产对生殖健康的不利影响[J].中国计划生育学杂志,2016,24(01):7-10.
[3]程利南.中国人工流产的现况及思考[J].中国实用妇科与产科杂志,2012,28(09):641-642.
[4]刘福先.无痛人工流产术终止早期妊娠的效果及对孕妇心理健康的影响[J].中国妇幼保健,2017,32(14):3279-3281.
[5]杨秀红.无痛人工流产与传统手术流产临床疗效比较分析[J].实用妇科内分泌杂志(电子版),2017,4(24):77+79.
[6]柳和春,孙桂菊.中国妇女流产后计划生育服务与实施效果的系统评价与Meta分析[J].中华生殖与避孕杂志,2017,37(03):213-221.
[7]陈海楠,胡晓宇,许洁霜.医院内提供流产后计划生育服务的可行性研究[J].中国计划生育学杂志,2015,23(10):659-663.
[8]林少英,邓玉环,郑玉华,等.信息管理系统与微信在流产后服务随访中的应用[J].护理学杂志,2018,33(21):12-14.