摘要
目的探讨人工流产术后口服短效避孕药的临床意义。方法选择2013年9月~2014年9月来我院门诊就诊,自愿要求非意愿行人工流产的健康早孕妇女200例,根据患者意愿自行选择避孕方法,选择复方口服避孕药进行避孕的进入OC组,选择屏障避孕法、安全期及体外排精一般避孕方法进入对照组。二组均于人流术后开始常规口服抗生素预防感染,并于服药前检查血常规及肝肾功能。（1）OC组：于人流术后当天口服复方避孕药屈螺酮炔雌醇片（商品名：优思明,拜耳医药保健有限公司）服用方法 ：1片,qd,连服21天为1疗程;月经第4天开始第2疗程,服用方法同前,共服用六个周期;（2）对照组：于人流术后每次性生活前自行选择一般避孕法,如屏障避孕法、安全期法及体外排精法。观察二组阴道出血量及持续时间,子宫内膜修复情况;月经恢复情况,再次妊娠率,及避孕药副反反应情况。结果人工流产术后,观察组阴道出血量及持续时间、月经恢复、避孕效果优于对照组（P〈0.05）。结论人工流产后使用短效口服避孕药是人工流产后计划生育服务的核心内容。
Objective To assess the clinical value of using combined oral contraceptive pills after induced abortion. Methods 200 health women with early pregnant who were voluntary to receive induced abortion in outpatient clinic from^2013 September to 2014 September were analyzed. They were divided to the OC group and the control group according to their voluntary choice of contraception. The drospirenone and ethinylestradiol tables（Yasmin？） were uesed at the first day of abortion in the OC group（1# qd po, for 21 days）,and the next following stage would start at the fourth day of menstruation. Six periods were observed. The other contraceptive methods, such as condom, safe period and coitus interruptus, were used in the control group. The volume and duration of vaginal bleeding, status of endometrium, menstruation recovery, pregnant rates as well as the side effects of oral contraceptive were observed. Results The volume and duration of vaginal bleeding after abortion, menstruation recovery and the contraception efficiency in the OC group were better than these in the control group（P〈0.05）. Conclusion Using combined oral contraceptive pills after induced abortion is the key content of Post Abortion Care.
出处
《中国卫生标准管理》
2015年第18期71-73,共3页
China Health Standard Management
