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目的 :探讨人工流产妇女意外妊娠的临床特征及临床干预效果。方法 :产科门诊手术室进行临床干预前161例(对照组)与临床干预后143例(观察组)接受人工流产患者作为研究对象,自2013年3月起实施临床干预措施,对比两组患者术后再次意外妊娠发生率、避孕知识及生殖健康知识掌握情况、术后不良反应及不良心理情绪发生率。同时根据术后是否再次妊娠分为两组,对比两组患者年龄、户口性质、经济收入、文化程度、是否未婚同居、性伴侣数量、首次性行为年龄等。结果 :年龄小于19岁、农村户口、月收入在2000元以下、产妇高中以下文化程度、未婚同居、性伴侣在2个以上和首次性行为在17岁以下人工流产术后患者再次意外妊娠发生率显著增高;观察组避孕知识及生殖健康知识知晓率均显著高于对照组;术后再次意外妊娠率、术后不良反应发生率以及术后不良心理发生率均显著低于对照组。结论 :掌握人流术后再次意外妊娠的高危因素以及正确的临床干预对于降低术后再次意外妊娠率、有效降低患者术后不良反应及不良情绪的发生率均有重要意义。
Objective: To investigate the clinical characteristics and clinical intervention of unexpected pregnancy in abortion women. Methods: 161 cases (control group) and 143 cases (observation group) before clinical intervention in obstetrics and gynecology operation room were enrolled in this study. The clinical interventions were carried out since March 2013, compared with the two groups After the accidental pregnancy rate again, contraceptive knowledge and reproductive health knowledge, postoperative adverse reactions and adverse psychological mood. At the same time, the patients were divided into two groups according to whether they were pregnant or not. The age, hukou status, economic income, educational level, whether they were living together unmarried, the number of sexual partners and the age of first sex were compared between the two groups. Results: Age less than 19 years old, rural hukou, monthly income of less than 2000 yuan, maternal and secondary education, unmarried cohabitation, sexual partners in more than 2 and first sexual behavior in patients under 17 years of abortion after accidental pregnancy rate Significantly higher than that of the control group. The awareness rate of contraceptive knowledge and reproductive health knowledge in the observation group were significantly higher than that of the control group. The rates of unexpected pregnancy, postoperative adverse reactions and postoperative adverse psychological events were significantly lower than those in the control group. Conclusions: To master the risk factors of unexpected pregnancy again after abortion and the correct clinical intervention are of great significance to reduce the rate of unwanted pregnancies and reduce the incidence of postoperative adverse reactions and adverse emotions.