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为探讨人流术对再次妊娠的影响.本文就我院近3年来228例人流术后再妊娠者进行分析如下:1 资料与方法1.1 资料来源:选择我院1994年1月~1997年12月住院分娩产妇642例,其中有人流史者282例,随机抽取同期分娩无人流史者282例为对照组,两组年龄、孕周、胎龄均无显著差异.1.2 一般资料:本组年龄24~35岁,平均25.3岁.孕周38~42周,平均40周.人流1次者213例,2次者54例,3次或3次以上者15例,最多者7次.末次人流距再次妊娠时间≤6个月138例,<12个月,>6个月者82例,≤12个月者62例.1.3 本资料中胎膜早破、妊高征、羊水过少、胎儿宫内窒息、新生儿APgar评分,围产期死亡均按全国高等医药院校教材《妇产科学》第2版的诊断标准.其中羊水过少除产时收集羊水量<300ml外,还根据B超诊断以测得单一羊水池最大直径<3cm或测量宫底部,肢体测得颈旁三个区平均<3cm为羊水过少.2 结果2.1 人流后再次妊娠孕期并发症见表1:表1 人流后再妊娠与对照组孕用并发症比较从表1所见,人流组再妊娠早、中晚期再出血率与对照组比较发生率高,经统计学处理P<0.025,有显著性差异.羊水过少、胎膜早破的发生率亦较对照组高,P<0.05,有显著差异.妊高征发生率,P>0.1,无显著差异.2.2 人流术后再妊娠分娩情况见表2:从表2看出人流组胎盘滞留及产后出血发
In order to explore the impact of abortion on pregnancy again.This article on our hospital in the past 3 years, 228 cases of abortion after pregnancy were analyzed as follows: 1 Materials and Methods 1.1 Source: Select our hospital from January 1994 to December 1997 hospitalization 642 cases of childbirth, of which there are 282 cases of history of abortion, random sampling of 282 cases of history of childbirth at the same period as the control group, the two groups of age, gestational age, gestational age were no significant differences .1.2 General Information: The group aged 24 ~ 35 years old, average 25.3 years old. Week 38 to 42 weeks, with an average of 40 weeks .There were 213 cases of abortion in one time, 54 cases in 2 times, 15 cases in 3 times or more, up to 7 times. Pregnancy ≤ 6 months, 138 cases, <12 months,> 6 months in 82 cases, ≤ 12 months in 62 cases .1.3 The data in premature rupture of membranes, PIH, oligohydramnios, intrauterine Apnea, neonatal APgar score, perinatal mortality according to the national higher medical school teaching “Obstetrics and Gynecology,” second edition of the diagnostic criteria, including oligohydramnios in addition to the collection of amniotic fluid <300ml, but also according to B-ultrasound In order to measure the single largest diameter of the pool of sheep <3cm or measuring the bottom of the palace, the body measured three cases of cervical paracentesis were less than 3cm for oligohydramnios.2 results 2.1 after abortion Pregnancy complications during pregnancy in Table 1: Table 1 pregnancy after pregnancy and pregnancy complications compared with the control group seen in Table 1, abortion group early pregnancy, late rebleeding rate compared with the control group, the incidence of high statistics P <0.025, there was a significant difference.Patients with oligohydramnios and premature rupture of membranes were also higher than the control group, P <0.05, there was a significant difference.The incidence of PIH, P> 0.1, no significant difference. 2.2 abortion after pregnancy and childbirth see Table 2: Table 2 shows the abortion and postpartum hemorrhage