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目的探讨人工流产术后口服复方短效避孕药妈富隆的临床疗效。方法将来四川省妇幼保健院行人工流产术的300例健康患者分为两组,观察组138例,于人工流产术后当日口服妈富隆,共3个周期;对照组162例,采用安全套避孕。两组患者术后均口服抗生素、益母草片。观察两组阴道流血量及持续时间、下次月经恢复时间、有无贫血、盆腔炎、宫腔粘连等人工流产术后并发症,统计术后3个月内再次妊娠率,观察避孕药的不良反应。结果观察组阴道流血量及持续时间、月经恢复时间与对照组相比,差异有统计学意义(P<0.05),观察组术后并发症发生率低于对照组,术后3个月内无再次妊娠发生,差异有统计学意义(P<0.05)。口服妈富隆3个月后无明显不良反应。结论人工流产术后口服妈富隆能减少阴道流血量,缩短流血时间,恢复月经周期,减少术后并发症,是安全、有效的避孕措施,是实现流产后计划生育服务(post abortion family planning service,PAFPS)的重要内容。
Objective To investigate the clinical efficacy of oral compound short-acting contraceptives Marvelon after abortion. Methods In the future, 300 cases of induced abortion in Sichuan Maternal and Child Health Hospital were divided into two groups, 138 cases in observation group and 3 cases in control group after oral abortion, and 162 cases in control group were contraceptives with condom. Two groups of patients after oral antibiotics, Motherwort tablets. The vaginal bleeding and duration of the two groups were observed, the next menstruation recovery time, with or without anemia, pelvic inflammatory disease, intrauterine adhesions and other complications of postoperative abortion, statistics again within 3 months after pregnancy rate, observed contraceptives reaction. Results Compared with the control group, the vaginal bleeding and duration of menstruation in the observation group were significantly different (P <0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, and within 3 months after operation Pregnancy occurred again, the difference was statistically significant (P <0.05). 3 months after oral Marvelon no obvious adverse reactions. Conclusions After abortion, oral administration of Marvelon can reduce vaginal bleeding, shorten the bleeding time, restore the menstrual cycle and reduce the postoperative complications. It is a safe and effective contraceptive measure and is a post abortion family planning service (abortion family planning service, PAFPS) of the important content.