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目的探讨人工流产术后立即口服优思明(含屈螺酮3mg+炔雌醇30ug)避孕和立即放置活性r型宫内节育器(简称安舒环)避孕的临床效果观察。方法选择2011年8月至2012年8月来本院自愿要求人工流产的女性,孕周6～10周,年龄20～40岁,无人工流产,口服避孕药和放置宫内节育环的禁忌症。B超确认完全流产后,观察组60人,立即口服优思明避孕;对照组60人,立即放置安舒环。发放随访卡,随访6个月。观察2组人工流产术后流血时间、感染率、转经时间、月经周期、意外妊娠及不良反应的对比。结果人工流产术后立即口服优思明避孕,术后阴道流血时间(5.8±1.5)d,感染2人,感染率3.3%,转经时间(27.8±2.4)d,月经周期(28.1±2.5)d,意外妊娠2人;人工流产术后立即放置安舒环,术后流血时间(7.8±1.8)d,感染5人,感染率8.3%,转经时间(32.5±2.8)d,月经周期(26.2±4.8)d,意外妊娠4人。两组差异均有统计学意义(P<0.05).结论人工流产术后立即口服优思明避孕,可以减少术后阴道流血时间及流血量,加速子宫内膜的修复,减少感染率,并且可调整月经周期,有效避孕。
Objective To investigate the clinical effect of oral administration of Yasmin (containing 3 mg of drospirenone and ethinyl estradiol 30 ug) contraceptive and immediate placement of active r-type IUD (contraceptive ring) contraceptive immediately after induced abortion. Methods From August 2011 to August 2012, women who volunteered to have induced abortion in our hospital were enrolled in the study. Contraindications of unwanted abortion, oral contraceptives and intrauterine system placement were 6-10 weeks gestation, 20-40 years old, . B-confirmed full abortion, the observation group of 60 people, immediately oral Yasmin contraception; control group of 60 people, immediately placed Anshu ring. Follow-up 6 months. Observe the bleeding time, infection rate, menstrual cycle, menstrual cycle, unplanned pregnancy and adverse reactions after induced abortion in two groups. Results The time of postoperative vaginal bleeding was (5.8 ± 1.5) days and the infection rate was 3.3%. The duration of menstrual cycle (28.8 ± 2.4) d, menstrual cycle (28.1 ± 2.5) d, an unexpected pregnancy of 2; Anshu ring immediately after the induced abortion, postoperative bleeding time (7.8 ± 1.8) d, 5 were infected, the infection rate was 8.3%, the transit time (32.5 ± 2.8) d, the menstrual cycle 26.2 ± 4.8) d, 4 unplanned pregnancies. (P0.05) .Conclusion Oral administration of Yasmin immediately after artificial abortion can reduce vaginal bleeding time and blood loss, accelerate the repair of endometrium and reduce the infection rate, Adjust the menstrual cycle, effective contraception.