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目的分析人工流产术后采用宫内节育器放置和口服避孕药的效果。方法择取本院收治的80例行人工流产手术患者为研究对象,入选时间为2012年1月—2014年9月,采用随机数字表法将其分成2组,观察组40例,采用放置宫内节育器治疗;对照组40例,临床中进行口服避孕药治疗。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组患者术后阴道出血时间[(4.30±2.40)d]和月经恢复时间[(29.41±3.80)d]均明显短于对照组[(5.80±2.09)、(31.11±5.63)d],差异均有统计学意义(均P<0.05);两组患者月经量变化比较[50.0%、30.0%、20.0%与17.5%、30.0%、52.5%],差异有统计学意义(χ2=12.087,P<0.05)观察组患者的不良反应发生率为20.0%,对照组为35.0%,观察组明显低于对照组,差异有统计学意义(χ2=11.067,P<0.05)。结论人工流产术后进行口服避孕药物治疗是首选避孕方式,而放置宫内节育器可作为长期避孕的有效方式。
Objective To analyze the effect of intrauterine device placement and oral contraceptives after induced abortion. Methods Totally 80 cases of induced abortion patients admitted to our hospital were enrolled in this study. The enrollment time was from January 2012 to September 2014. The patients were divided into two groups by random number table method and 40 cases in observation group. IUD treatment; control group of 40 cases, clinical oral contraceptives. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The duration of postoperative vaginal bleeding (4.30 ± 2.40 days) and menstruation recovery time (29.41 ± 3.80 days) in the observation group were significantly shorter than those in the control group [(5.80 ± 2.09), (31.11 ± 5.63) days] The difference was statistically significant (P <0.05). The changes of menstrual flow between the two groups were statistically significant (χ2 = 12.087, P <0.05) The incidence of adverse reactions was 20.0% in the observation group and 35.0% in the control group, which was significantly lower in the observation group than in the control group (χ2 = 11.067, P <0.05). Conclusions Oral contraceptives after artificial abortion is the preferred method of contraception, and placement of IUDs can be an effective method of long-term contraception.