摘要
目的分析比较人工流产术后女性即时放置吉妮致美与口服短效避孕药的避孕效果,为临床提高避孕措施提供参考依据。方法选取2019年1—12月于玉环市中医院实施人工流产术的青年女性169例根据患者个人意愿选择将其分为两组,分别为观察组27例与对照组142例。所有选取对象均在实施静脉麻醉后行人工流产手术,观察组患者在术后即时放置吉妮致美进行避孕,对照组患者在术后给予口服短效避孕药进行避孕,并告知所有患者后期注意事项,对其进行知识宣教。对所有患者进行6个月时间的追踪随访后,对两组患者术后月经恢复情况、不良情况及妊娠情况进行观察比较。结果与对照组比较,观察组术后阴道出血量明显减少,术后持续出血时间、月经恢复时间均明显缩短,差异均有统计学意义(P<0.05)。术后观察组子宫内膜厚度恢复情况及宫腔内残留物清除情况明显好于对照组,差异均有统计学意义(P<0.05)。术后观察组妊娠率0.00%明显低于对照组妊娠率9.15%,但差异无统计学意义(P>0.05)。观察组不良反应总发生率3.70%明显低于对照组总发生率30.28%,差异有统计学意义(P<0.05)。结论对实施人工流产术女性术后即时放置吉妮致美进行避孕的效果显著优于口服短效避孕药的效果,能够使女性术后生活质量明显改善,且疗效安全,值得临床推广应用。
Objective To analyze the contraceptive effects of instant application of Jenefox intrauterine device and short-acting oral contraceptives after artificial abortion operation,provide a reference basis for clinical improvement of contraceptives.Methods A total of 169 young women who underwent artificial abortion in Yuhuan Hospital of Traditional Chinese Medicine from January to December 2019 were selected and divided into two groups according to the individual wishes of the patients:observation group(27 cases)and control group(142 cases).All the selected subjects underwent artificial abortion after intravenous anesthesia.The patients in observation group immediately placed Jenefox intrauterine device for contraception.The patients in control group were given oral short-acting contraceptives for contraception after surgery.All the patients were advised of late precautions,education of knowledge was performed.After 6 months of follow-up for all the patients,the postoperative menstrual recovery,adverse conditions,and pregnancy were observed and compared between the two groups of patients.Results Compared with control group,the amount of postoperative vaginal bleeding in observation group decreased significantly,the duration time of postoperative bleeding and menstrual recovery time shortened significantly,and the differences were statistically significant(P<0.05);the recovery of endometrial thickness and clearance of intrauterine residues after operation were statistically significantly better than those in control group(P<0.05).The pregnancy rate after operation in observation group was 0.00%,which was lower than that in control group(9.15%),but there was no statistically significant difference(P>0.05).The total incidence rate of adverse reactions in observation group was statistically significantly lower than that in control group(30.28%)(P<0.05).Conclusion The contraceptive effect of instant application of Jenefox intrauterine device is significantly better than that of short-acting oral contraceptives after artificial abortion operation,the method can significantly improve life quality of postoperative women,which is safe and effective,the method is worthy of clinical promotion and application.
作者
吕莹莹
施春晖
LYU Ying-ying;SHI Chun-hui(Department of Gynecology and Obstetrics,Yuhuan Hospital of Traditional Chinese Medicine,Taizhou,Zhejiang 317600,China)
出处
《中国妇幼保健》
CAS
2023年第1期70-73,共4页
Maternal and Child Health Care of China
基金
中华医学会计划生育学分会青年LARC促进公益计划(201816号)。
关键词
人工流产术
即时放置
吉妮致美
口服短效避孕药
避孕效果
Artificial abortion
Instant application
Jenefox intrauterine device
Short-acting oral contraceptive
Contraceptive effect
