黄惠斌?董秋燕?陈燕飞

[摘要] 目的 研究分析流产后关爱对人工流产女性降低重复流产率的影响。 方法 选择2015年6月～2016年1月期间我院收治人工流产患者98例，按照入院ID号随机分为对照组与观察组，观察组采用PAC服务模式，对照组采用常规流产服务模式，比较两组患者人工流产知识掌握情况、高效避孕情况以及重复流产率。 结果 两组患者人工流产知识掌握情况比较，观察组患者各项评分均优于对照组患者，差异有统计学意义（P<0.05）；两组患者高效避孕情况比较，观察组患者高效避孕率69.4%，显著优于对照组42.9%，差异有统计学意义（P<0.05）；两组患者术后重复流产率比较，术后6个月重复流产率比较，差异无统计学意义（P>0.05）；术后12个月重复流产率比较，观察组重复流产率2.0%，显著低于对照组14.3%，差异有统计学意义（P<0.05）。结论 流产后关爱有助于提高女性人工流产知识掌握情况，促进高效避孕实施，降低长期重复流产率。

[关键词] 流产后关爱；人工流产；重复流产；避孕

[中图分类号] R169.42 [文献标识码] A [文章编号] 2095-0616（2017）14-181-03

Effect of post abortion care on the rate of repeated abortions in induced abortion women

HUANG Huibin DONG Qiuyan CHEN Yanfei

Gynecology and Obstetrics Clinic，Qingyuan Maternal and Child Health Care Hospital，Qingyuan 511500，China

[Abstract] Objective To explore and analyze the effect of post abortion care （PAC） on the rate of repeated abortions in induced abortion women. Methods 98 cases of abortion women cured in our hospital from June 2015 to January 2016 were selected and randomly divided into control group and observation group according to admission number ID.Patients in observation group were treated with PAC service model，and pateints in control group were treated with routine abortion service model.Knowledge of abortion，effective contraception and rate of repeated abortion of the two groups were compared. Results Comparing the knowledge of abortion，the scores in the observation group were better than those in the control group，and there was statistical difference （P<0.05）.The effective contraception rate of the observation group was higher than that of the control group （42.9%），and the difference between the 69.4% groups was significant （P<0.05）.There was no significant difference between the two groups in the rate of repeated abortion six months after operation （P>0.05）.The rate of repeated abortion in the observation group was 2%，which was significantly lower than that of the control group （14.3%） in December，and there was a statistical difference （P<0.05）. Conclusion Post abortion care is helpful to improve the knowledge of female flow，promote the implementation of effective contraception，and reduce the rate of long-term repeated abortion.

[Key words] Post abortion care；Induced abortion；Repeated abortion；Contraception

我國作为人口大国由于计划生育政策以及人口基数原因，人工流产作为避孕失败的补救措施而普遍存在[1-2]。2015年WHO调研结果显示我国人工流产年均800万余例，其中重复流产率高达49.8%[3]。重复流产不仅仅带来女性生殖健康损害，对于流产并发症以及不良妊娠发生均具有加剧影响，如何规范流产后医疗服务，促进人工流产后患者恢复以、减少非意愿妊娠发生对于提高女性生殖健康、改善重复流产率高的现状具有极高的现实意义[4-5]。流产后关爱（post abortion care，PAC）服务模式为新提出服务理念，旨在通过流产后优质服务、强化立即避孕意识以及落实有效避孕措施，实现提高女性生殖健康，避免计划外妊娠发生的目的，近来部分文献报道该服务理念应用有效，效果突出[6-8]。为进一步提高临床服务质量，本研究以常规流产服务模式为对照，研究分析流产后关爱（PAC）对人工流产女性降低重复流产率的影响，现报道如下。……