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目的:了解人工流产手术后及时服用短效避孕药的效果。方法:随即选取门诊孕早期行人工流产患者200例分为观察组和对照组各100例,两组术后均口服抗生素3天,同时观察组手术当日即开始服用去氧孕烯炔雌醇片,连用21天;观察两组术后出血时间、出血量、月经复潮时间、经量、经后宫腔镜评价宫腔形态。结果:观察组术后出血时间及出血量均少于对照组,差异有统计学意义(P<0.05);观察组月经复潮时间(28.1±4.2)天,对照组(33.4±7.1)天,差异有统计学意义(P<0.05),两组经量差异无统计学意义(P>0.05);观察组宫腔粘连2例,对照组9例,两组差异有统计学意义(P<0.05),对照组3例月经未复潮再次妊娠,观察组月经复潮前无再次妊娠。结论:人工流产后及时服用短效避孕药,不仅可以有效避孕,亦可以减少术后出血时间及出血量,维持正常月经周期,同时可预防宫腔粘连的发生。
Objective: To understand the effect of timely administration of short-acting contraceptives after induced abortion. Methods: 200 cases of abortion in outpatient early pregnancy were randomly divided into observation group and control group, with 100 cases in each group. All patients were given oral antibiotics for 3 days after operation. At the same time, the observation group started taking ethinyl ethinyl estradiol , Once every 21 days. The bleeding time, the amount of bleeding, the time of menstruation and the volume of menstruation after operation were observed, and the uterine cavity morphology was evaluated by hysteroscopy. Results: The bleeding time and bleeding amount in the observation group were less than those in the control group (P <0.05). The observation group had a significant increase in the duration of menstruation (28.1 ± 4.2 days), the control group (33.4 ± 7.1 days) (P <0.05). There was no significant difference between the two groups (P> 0.05). In the observation group, there were 2 cases of intrauterine adhesions and 9 cases of the control group, the difference between the two groups was statistically significant (P <0.05 ), The control group 3 cases of menstruation again regurgitation without recurrence, the observation group no recurrence before menstruation tide again. CONCLUSION: Short-acting contraceptives can be used in time after induced abortion, which can not only effectively prevent contraception, but also reduce the bleeding time and bleeding volume after operation, maintain the normal menstrual cycle and prevent intrauterine adhesions.