流产后关爱服务联合低频电脉冲对人工流产术后子宫复旧的影响研究

发布时间：2018-01-03 16:06

本文关键词：流产后关爱服务联合低频电脉冲对人工流产术后子宫复旧的影响研究　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨流产后关爱服务(PostAbortion Care,PAC)联合低频电脉冲对人工流产术(以下简称人流术)后子宫复旧的影响。方法:按照预设的纳入标准,选取2014年10月-2015年10月在沧州市妇幼保健院实行人工流产术的患者246例,把这些病例随机分为两组:观察组206例、对照组(人流术后常规处理对照组)40例。观察组按照患者知情同意的原则和接受流产后关爱服务的患者人工流产后选择的即时避孕方式,又分为低频电脉冲组42例,避孕药组40例,宫内节育器组41例,避孕药联合低频电脉冲组42例,宫内节育器联合低频电脉冲组41例。对照组采取人流术常规方式处理,观察组中的低频电脉冲组,在对照组的基础上,给予低频电脉冲,避孕药组和宫内节育器组,在对照组的基础上,按照流产后关爱服务标准流程进行操作,其中,避孕药组患者给予复方短效口服避孕药优思明(屈螺酮炔雌醇片),宫内节育器组患者在人工流产术后即时放置带铜T形宫内节育器(TCu-IUD),避孕药联合低频电脉冲组,给予患者流产后关爱服务(避孕药)联合低频电脉冲治疗,宫内节育器联合低频电脉冲组,给予患者流产后关爱服务(宫内节育器)联合低频电脉冲治疗。比较各组间阴道流血持续时间、阴道出血量、术后2周子宫三径线之和及宫腔积液和月经恢复时间情况。用SPSS17.0统计软件分析结果。结果:观察组中的低频电脉冲组和流产后关爱服务组的阴道流血持续时间均短于对照组,阴道出血量均少于对照组,术后2周子宫三径线之和均小于对照组,宫腔积液发生率均低于对照组,月经恢复时间均短于对照组,流产后关爱服务联合低频电脉冲组与低频电脉冲和流产后关爱服务组相比,阴道流血持续时间短,阴道出血量少,术后2周子宫三径线之和小,宫腔积液发生率低,月经恢复时间短,差异均具有统计学意义(P0.05),流产后关爱服务和低频电脉冲均能促进人流术后子宫复旧,而且流产后关爱服务联合低频电脉冲对促进人流术后子宫复旧具有协同作用;流产后关爱服务组,由于选择的流产后即时避孕方式的不同,对促进子宫复旧的效果也不同,在缩短阴道流血持续时间和减少阴道出血量方面,避孕药组优于宫内节育器组,避孕药组和宫内节育器组术后2周子宫三径线之和的差异无统计学意义(P0.05),在降低术后2周宫腔积液发生率方面,避孕药组优于宫内节育器组,差异具有统计学意义(P0.05),在月经恢复时间方面,避孕药组短于宫内节育器组,差异具有统计学意义(P0.05)。结论:1流产后关爱服务和低频电脉冲均能明显促进人流术后子宫复旧。2流产后关爱服务中选择的流产后即时避孕方式不同,对促进子宫复旧的效果也不同,在缩短阴道流血持续时间和减少阴道出血量方面,避孕药组优于宫内节育器组,避孕药组和宫内节育器组术后2周子宫三径线之和无差异,在降低术后2周宫腔积液发生率方面,避孕药组优于宫内节育器组,在月经恢复时间方面,避孕药组短于宫内节育器组。3流产后关爱服务和低频电脉冲对促进人流术后子宫复旧具有明显的协同作用。
[Abstract]:Objective: To investigate the post abortion care service (PostAbortion Care, PAC) combined with low frequency electric pulse on artificial abortion (hereinafter referred to as abortion) effect of uterine involution. Methods: according to the predetermined inclusion criteria, 246 cases were selected from October 2014 -2015 year in October the implementation of artificial abortion in maternal and Child Health Hospital of Cangzhou City, the case were randomly divided into two groups: 206 cases in the observation group, the control group (routine treatment group after abortion) in 40 cases. The observation group is in accordance with the principle of informed consent of patients with contraception and post abortion care patients after artificial abortion choice, divided into low frequency electric pulse group 42 cases, 40 groups of contraceptives cases of IUD group in 41 cases, the pill combined with low frequency electric pulse group 42 cases of IUD combined with low frequency electric pulse group in 41 cases. The control group took routine abortion treatment, low frequency electric pulse group in the observation group in the control group. Based on the given low frequency electric pulse, the pill group and IUD group, on the basis of the control group, in accordance with the standard procedure of post abortion care service operation, the pill group were treated with compound short acting oral contraceptive Yasmin (Drospirenone and Ethinylestradiol Tablets), intrauterine device in patients immediately after artificial abortion placed with copper T IUD (TCu-IUD), the pill combined with low frequency electric pulse group, patients were given post abortion care services (pill) combined with low frequency electric pulse therapy, IUD combined with low frequency electric pulse group, to give patients with post abortion care services (IUD) combined with low frequency electric pulse treatment. Comparisons between groups of vaginal bleeding the duration of vaginal bleeding, menstrual and uterine cavity effusion 2 weeks three diameter and postoperative recovery time of palace. The results were analyzed with SPSS17.0 statistical software. Results: the low frequency in the observation group Pulse group and post abortion care service group vaginal bleeding duration is shorter than the control group, the amount of vaginal bleeding was less than in the control group, after 2 weeks, three and uterine diameters were less than the control group, the incidence of ECF was lower than the control group, menstrual recovery time was shorter than the control group, after abortion care service combined with low frequency electric pulse group and low frequency electric pulse and post abortion care services group, vaginal bleeding, short duration, less amount of vaginal bleeding, postoperative 2 weeks and three small diameter of the uterus, uterine cavity effusion rate low, menstrual recovery time is short, the difference was statistically significant (P0.05), after abortion care service and low frequency electric pulse can promote the involution of uterus after abortion and post abortion care services, combined with low frequency electric pulse synergy to promote the involution of uterus after abortion with; care group after the abortion, the immediate postpartum contraceptive choice side flow The different type, to promote uterine involution effect is also different, in shortening the duration of vaginal bleeding and reduce the amount of vaginal bleeding, the pill group was better than that of IUD group, no significant group pill and IUD group after 2 weeks, three lines and the uterine size difference (P0.05), in the reduction of postoperative 2 week incidence of ECF, contraceptive group than the IUD group, the difference was statistically significant (P0.05), in the menstrual recovery time, the pill group was shorter than the IUD group, the difference was statistically significant (P0.05). Conclusion: 1 post abortion care service and the low frequency electric pulse could obviously promote the after selecting.2 involution of uterus after abortion care service immediately after abortion abortion contraception in different ways, to promote uterine involution effect is also different, in shortening the duration of vaginal bleeding and reduce the amount of vaginal bleeding, contraceptives were excellent In IUD group, group pill and IUD group after 2 weeks, three lines and no uterine size differences in the lower 2 weeks after operation, the incidence of ECF, contraceptive group than the IUD group, in the menstrual recovery time, the pill group was shorter than the IUD group.3 after abortion care service and low frequency electric pulse to promote after abortion have synergistic effects of uterine involution.

【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R169.42

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