人流术后社区随访减少炎症性不孕的研究

Research on Reduction of Inflammatory Infertility by Follow-up Visit in Community after Artificial Abortion

目的:探讨人流术后早期社区随访对盆腔炎症性不孕的预防效果。方法:在社区建立健康档案的7 566名育龄妇女中,对既往5年内有人流手术史的患者通过门诊诊疗结合电话随访的178名患者作为观察组,未按要求进行社区诊治但配合随访的256名患者作为对照组,对患者人流术后5年内的继发不孕发生率及病因进行分析。结果:观察组与对照组比较,其炎症性继发不孕的发病率明显下降(6.7%vs 17.5%),观察组CT和Uu感染率均逐月显著下降。结论:人流术后早期定期进行盆腔炎症性疾病的社区随访诊治可以显著减少患者的继发性盆腔炎症性不孕。

Objective：To investigate the preventive effect of early follow-up visit in community on pelvic inflammatory infertility after artificial abortion.Methods：Among the 7 566 women of reproductive age who had established health files in community,178 cases were chosen as the observation group who had got artificial abortion in the past 5 years and got outpatient clinical diagnosis,treatment and telephone follow-up.Meanwhile,256 cases who ignored the community diagnosis and therapy but accepted the follow-up visit were chosen as the control group.Then we analyzed the secondary infertility incidence and cause within 5 years after the artificial abortion.Results：The percentage of inflammatory secondary infertility from the patients in observation group decreased dramatically（6.7% versus 17.5%） compared with those in control group.In addition,compared with the control group,the patients in observation group were less likely to have morbidity of inflammation by chlamydia trachomatis and ureaplasma urealyticum that was shown by decrease monthly.Conclusion： The early and regular follow-up visit,diagnosis and treatment for pelvic inflammation in community can significantly reduce secondary pelvic inflammatory infertility.