230例孕妇口服避孕药止血的临床分析

230 cases of pregnant women taking oral contraceptives hemostasis clinical analysis

目的探讨孕妇口服避孕药止血相关影响因素。方法研究对象随机选取在2010年1月至2012年6月期间在我医院就诊的人流、上环、取环术后阴道流血时间超过2周的妇女230例进行临床观察。结果 230例流血患者中有130例流血时间在14-20天,60例流血时间在21-35天,40例流血时间】35天。Cox比例风险回归模型统计分析后,表明口服避孕药止血影响因素有感染、不良分娩史、宫内残留、多次人工流产史,及女性内分泌紊乱等。结论妇科临床门诊对治疗口服避孕药止血的孕妇,其前提是要保证手术质量,手术操作规范,要求我们努力宣教生殖健康知识,及时处理术后不良反应。

Objective To explore the related factors of pregnant women taking oral contraceptives hemostasis.Methods The subjects were randomly selected in 2011January to 2012June in our hospital visiting stream of people,Sheung Wan,ring extraction time of vaginal bleeding after more than 2weeks for women230 cases clinical observation.Results 230 cases of patients with bleeding in 130 cases of bleeding time in 14-20 days,60cases of bleeding time in 21-35 days,40cases of bleeding time > 35days.Cox proportional hazards regression model statistical analysis,shows that oral contraceptives on hemostatic factors are infection,adverse birth history,intrauterine residue,repeated abortion history,and female endocrine disorders.Conclusion Clinical gynecology outpatient treatment of oral contraceptives on hemostasis in pregnant women,the premise is to guarantee the quality of operation,operation technique,requires us to propaganda and education on reproductive health knowledge,the timely processing of postoperative untoward reaction.