四川省六县妇女人工流产后的调查研究

Follow-up Study of First Trimester Induced Abortion at Hospital & Family planning Clinics in Six Counties of Sichuan Province

本文调查了自１９９０年７月１日至１９９１年６月３０日在四川省６个县４０００例１８～４０岁施行早孕人工流产术的妇女。调查分别于人流术前、术后１５、９０和１８０ｄ进行。结果５１．１４％的对象在人流术后１５ｄ内有阴道出血。分析表明阴道出血与手术医生的经验、受教育水平有关，并与人流妇女居住地、职业、性生活频度和经济收入等因素有关。调查采用了ＳＣＬ－９０和ＣＥＳ—Ｄ两个量表评定受试者的自觉精神症状和抑郁症状。发现人流后时间越长，ＳＣＬ－９０总分均值愈小，在０级分数的人数增多，１级以上的人数大幅度减少；ＣＥＳ－Ｄ总分亦降低。说明人流术后受试者的自觉精神症状和抑郁症状呈下降趋势。文章还分析了与自觉精神症状和抑郁症状有关的因素。

Of 4, 000 women aged 18-40 underwent early abortion at hospitals and family planning clinics, from 1 July 1990 to 30 June 1991, in six counties of Sichuan province. The study was followed-up 3 times at the days of 15. 90 and 180 after abortion. 51. 14% of patients had vagina bleeding at 15 days after abortion. The analysis revealed that the bleeding was related to the experience and educational level of operative doctors, and the residential place, occupation, the frequency of sexual life and average income of abortion women. Depressive symptomatology was assessed by CES-D and SCL-90 scales. The results shows that the more longer time after induced abortion, the more smaller of the mean of total-score, and the more greater of the number of cases in grade of The number of cases in above grade 1, however, were declined gradually with the time passed, and the CES-D total-score was also declined. It is very obvious that there was a tendency of decline on the psychological distress and depression symptoms after induced abortion. In this paper,the main factors related to induced abortion complications were also analysed.