姜金梅

【摘要】 目的 分析北方地區某市近5年青少年重复人工流产的原因及预防措施， 为降低青少年重复流产提供指导。方法 1367例24岁及以下的青少年人工流产患者为研究对象， 将627例重复流产

2次及以上的患者设为观察组， 剩余740例患者作为对照组。计算每年度重复人工流产率， 分析对比两组患者的基本情况和一般资料及影响重复人工流产的因素和相关原因。结果 2014年年度人工流产患者271例， 重复人工流产人数有109例， 所占比例40.22%;2015年年度人工流产患者302例， 重复人工流产人数137例（45.36%）;2016年年度人工流产患者239例， 重复人工流产人数有108例（45.19%）;2017年年度人工流产患者280例， 重复人工流产人数有137例（48.93%）;2018年年度人工流产患者275例， 重复人工流产人数有137例（49.82%）。青少年重复人工流产的比例逐年升高， 2014年青少年重复人工流产的比例占40.22%， 2018年青少年重复人工流产的比例占49.82%， 增长接近10%， 并且趋于低龄化， 2014～2016年重复人工流产青少年的最小年龄16岁， 2017年重复人工流产青少年的最小年龄15岁， 有2例， 2018年重复人工流产青少年的最小年龄13岁， 占1例。20岁及以下青少年重复人工流产年龄比例在2014～2018年期间， 总的趋势是逐年升高， 从2014的8.12%增长到2018年的15.27%。结论 近

5年间， 北方地区某市24岁及以下青少年重复人工流产率逐年升高， 平均每年升高近2%， 其中20岁及以下的青少年重复人工流产率不仅逐年升高， 而且还呈现低龄化趋势。

【关键词】 重复流产;生殖健康意识;青少年

DOI：10.14163/j.cnki.11-5547/r.2019.34.094

Analysis on causes of repeated abortion among adolescents and preventive strategies in a city of northern China from 2014 to 2018   JIANG Jin-mei. Department of Obstetrics and Gynecology， Shenyang Heping District Maternity and Infant Hospital， Shenyang 110000， China

【Abstract】 Objective   To analyze the causes and preventive measures of repeated abortion among adolescents in a city of northern China in recent 5 years， so as to provide guidance for reducing the rate of repeated abortion among adolescents. Methods   1367 adolescents with artificially induced abortion aged 24 years or younger as study subjects. 627 cases of repeated abortion twice or more were set as the observation group， and the remaining 740 cases as the control group. The annual rate of repeated abortion was calculated， and the basic situation and general information of the two groups and the factors influencing the repeated abortion and the related reasons was analyzed and compared. Results   In 2014， there were 109 cases （40.22%） of repeated abortion out of 271 cases of artificially induced abortion; in 2015， there were 137 cases （45.36%） of repeated abortion out of 302 cases of artificially induced abortion; in 2016， there were 108 cases （45.19%） of repeated abortion out of 239 cases of artificially induced abortion; in 2017， there were 137 cases （48.93%） of repeated abortion out of

280 cases of artificially induced abortion; in 2018， there were 137 cases （49.82%） of repeated abortion out of

275 cases of artificially induced abortion. The proportion of repeated abortion among adolescents has been increasing year by year. In 2014， the proportion of repeated abortions among adolescents was 40.22%， and in 2018， the proportion of repeated abortions among adolescents was 49.82%， with an increase of nearly 10%， and it tends to be younger. From 2014 to 2016， the minimum age of repeated abortions among adolescents was 16 years of age， and in 2017， the minimum age of repeated abortions among adolescents was 15 years of age， 2 cases for each， in 2018 The minimum age of abortion was 13 years of age， 1 case. From 2014 to 2018， the age proportion of repeated abortion among adolescents aged 20 years or younger increased year by year， from 8.12% in 2014 to 15.27% in 2018. Conclusion   In the past 5 years， the rate of repeated abortion among the adolescents aged

24 years or younger in a city of northern China has been increasing year by year， with an average annual increase of nearly 2%. Among them， the rate of repeated abortion among the adolescents aged 24 years or younger is not only increasing year by year， but also showing a trend of younger age.

【Key words】 Repeated abortion; Reproductive health awareness; Adolescents

重复流产是指有 2 次或 2 次以上的人工流产[1]。改革开放40多年， 由于传统的思想观念、价值取向及社会环境发生了深刻变化， 致使我国女性人工流产率呈不断上升