人工流产术后三种避孕方法的临床效果比较

发布时间：2018-05-07 21:57

本文选题：人工流产术后 + 优思明　；参考：《山西医科大学》2013年硕士论文

【摘要】：目的探讨人工流产术后使用短效口服避孕药（优思明）、宫内放置节育器及男式避孕套避孕的临床效果。方法来我院进行人工流产术并自愿术后立即口服避孕药的65例女性列为优思明组，，术后选择放置宫内节育器的69例作为IUD组，术后选择男式阴茎套避孕的58例为避孕套组。随访6个月，观察三组术后阴道出血时间、转经时间、术后月经量的变化及不良反应等情况进行临床对比。结果三组患者人流术后出血时间相比较，优思明组和阴茎套组阴道出血时间明显短于IUD组（P0.05）；三组患者术后月经恢复时间的比较均有显著差异（P0.05），和其他两组相比，优思明组术后首次月经转归时间较短。术后三组患者月经量的变化情况比较有显著差异（P＜0.05），优思明组术后月经量小于以往月经量的患者有63.0%，多于阴茎套组和IUD组，IUD组术后月经量大于以往月经量的患者有53.6%，多于优思明组和阴茎套组。优思明组与IUD组不良反应率的比较差异有统计学意义（P＜0.05），IUD组的不良反应发生率为36.2%，优思明组不良反应发生率为20.0％。结论 1.人工流产术后即时服用优思明能较快恢复正常月经周期，值得临床上推广； 2.IUD组不良反应主要有月经期延长、腰困腰酸，但半年后基本恢复正常，所以可以作为长期避孕的首选方式。 3.对于不能口服避孕药和放置宫内节育器避孕的患者，避孕套可作为首选避孕方式。
[Abstract]:Objective to investigate the clinical effect of using short effect oral contraceptive (Yosemin), intrauterine contraceptive device (IUD) and male condom after artificial abortion. Methods Sixty-five women who underwent artificial abortion in our hospital and volunteered to take oral contraceptive immediately after operation were classified as Yosemin group, 69 cases of intrauterine contraceptive device were selected as IUD group, 58 cases of male penile condom were selected as condom group after operation. After 6 months of follow-up, the time of vaginal bleeding, the time of conversion, the changes of menstrual volume and adverse reactions were observed and compared among the three groups. Result The vaginal bleeding time of the three groups was significantly shorter than that of the IUD group (P 0.05), and the time of menstrual recovery in the three groups was significantly different from that in the other two groups (P 0.05), and compared with the other two groups, the vaginal bleeding time of the three groups was significantly shorter than that of the other two groups, and the time of menstrual recovery was significantly lower in the three groups than in the other two groups. The first menstrual recovery time was shorter in Yousiming group. There was significant difference in menstrual volume among the three groups after operation (P < 0.05). There were 63.0 patients in Yousiming group who had less menstrual volume after operation than those in penile sleeve group and IUD group. 53.6% were more than Yousiming group and penile sleeve group. There was significant difference in the adverse reaction rate between Yousiming group and IUD group (P < 0.05). The incidence of adverse reaction was 36.2 in Yousiming group and 20.0 in Yousiming group. Conclusion 1. Immediately after abortion, you Siming can recover the normal menstrual cycle quickly, which is worth popularizing in clinic. In 2.IUD group, the main adverse reactions were prolonged menstrual period and lumbar acid, but returned to normal half a year later, so it can be used as the first choice for long-term contraception. 3. Condoms may be the first choice for patients who cannot take oral contraceptives and place IUDs.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R169.41

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