2003年和2013年人工流产患者高危因素的变化及分析

发布时间：2018-03-23 18:19

  本文选题：人工流产　切入点：高危因素　出处：《中国医科大学学报》2015年11期

【摘要】：目的通过分析我院10年间人工流产患者高危因素的变化,为降低高危人工流产数量、预防手术并发症及提高人工流产后服务质量提供理论依据。方法回顾性分析2003年和2013年盛京医院人工流产患者的一般情况及高危因素,比较高危因素数量及构成比的变化。结果与2003年相比,我院2013年人工流产患者非本地户籍及农村户籍者所占比例均明显增加(P0.05),尤其是非本地户籍的患者所占比例由2003年的21.5%上升至2013年的44.9%。学历背景中大专及以上学历者所占比例明显增加(P0.05),由2003年的23.4%上升至2013年的35.1%。2003年年龄≤20岁的患者仅占人工流产患者总数的1.5%,而2013年上升至4.5%。2003年我院计划生育门诊高危人工流产率为38.9%(1 380/3 544),前5位高危因素分别是半年内有终止妊娠或1年内有2次以上人工流产史或总计3次以上人工流产史、生殖系统肿物、剖宫产术后、稽留流产和带器妊娠。2013年高危人工流产率为66.5%(3 059/4 597),前5位高危因素变为剖宫产术后、稽留流产、生殖系统肿物、半年内有终止妊娠或1年内有2次以上人工流产史或总计3次以上人工流产史和年龄≤20岁。结论 10年间高危人工流产数量明显增加,高危因素构成发生明显变化,剖宫产术后、稽留流产及年龄≤20岁实施人工流产者明显增加是高危人工流产率增加的主要原因。
[Abstract]:Objective to analyze the changes of high risk factors in patients with induced abortion in our hospital during the past 10 years, in order to reduce the number of high risk induced abortions. Methods the general situation and high risk factors of induced abortion in Shengjing Hospital in 2003 and 2013 were analyzed retrospectively. The changes in the number and composition of high risk factors were compared with those in 2003. In 2013, the proportion of non-local and rural residents with induced abortion in our hospital increased significantly, especially the proportion of non-local registered residents rose from 21.5% in 2003 to 44.9% in 2013. The proportion of patients with abortions increased significantly from 23.4% in 2003 to 35.1% in 2013. In 2003, the proportion of patients under 20 years of age accounted for only 1.5% of the total number of patients with induced abortion, while in 2013 it rose to 4.5.2003, the rate of high-risk abortions in family planning clinics of our hospital was 38.9% / 3,54444. The top five risk factors were termination of pregnancy within half a year, history of more than 2 induced abortions in one year or more than 3 induced abortions in total. Mass of the reproductive system, cesarean section, missed abortion and pregnancy with device. In 2013, the rate of high risk induced abortion was 66.559 / 4597%. The top five high risk factors became cesarean section, missed abortion, and mass of the reproductive system. There were two or more induced abortions in half a year or more in one year, and the age 鈮，

本文编号：1654624