| 摘要: |
| ［摘要］ 目的 探讨人工流产后关爱服务 （post-abortion care,PAC）的临床应用效果。方法 对2015-08～2017-08自愿到该院进行人工流产的400例孕妇进行PAC（观察组）,并与同期自愿到该院进行人工流产接受常规指导的400例孕妇（对照组）进行对比，观察PAC的临床应用效果。比较两组有效避孕措施；术后12个月意外妊娠、重复流产、术后并发症发生率；手术前后焦虑自评量表（SAS）和抑郁自评量表（SDS）评分等指标。结果 观察组采取有效避孕措施人数占90.00%，高于对照组（P<0.01）；而采取安全期、紧急避孕药及未避孕人数均较对照组少（P<0.01）。观察组术后12个月意外妊娠、重复流产、术后并发症发生率均低于对照组（P<0.05）。两组术前SAS和SDS评分比较差异无统计学意义（P>0.05），术后评分均较术前降低（P<0.05），但观察组降低较对照组明显，差异有统计学意义（P<0.01）。结论 PAC能提高女性避孕实施能力，降低意外妊娠、重复流产、术后并发症发生率，改善女性心理状态，有较好的临床应用价值。 |
| 关键词: 人工流产 意外妊娠 人工流产后关爱服务 |
| DOI：10.3969/j.issn.1674-3806.2018.07.09 |
| 分类号:R 719.3 |
| 基金项目:河池市科学研究与技术开发计划课题(编号：1623-18) |
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| Clinical effects of post-abortion care on induced abortion |
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HE Li, PENG Hua, OU Wen-mei, et al.
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Department of Gynecology, the Third People′s Hospital of Hechi City, Guangxi 547000, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effects of post-abortion care(PAC) on induced abortion. Methods From August 2015 to August 2017, 400 cases of pregnant women who voluntarily required abortion in our hospital received PAC(the observation group). Other matched 400 cases of pregnant women received regular guidance(the control group). The clinical effects were compared between the two groups. The main observational indexes including the effective contraceptive measures, and the unintentional pregnancy, the recurrent miscarriage, and the postoperative complication rate at postoperative 12 months, SAS and SDS scores were compared between the two groups before and after the operation. Results The rate of the effective contraceptive measures in the observation group(90.00%) was significantly higher than that in the control group(P<0.01). The rate of the patients who used reliable methods of contraception and the rate of non-contraception in the observation group were significantly lower than those in the control group(P<0.01). The rates of unplanned pregnancy, repeated abortion and postoperative complications in the observation group were significantly lower than those in the control group(P<0.05). There were no significant differences in the preoperative SAS and SDS scores between the two groups(P>0.05). The SAS and SDS scores before operation were significantly higher than those after operation in the two groups(P<0.05), but the postoperative scores of the observation group were significantly lower than those of the control group(P<0.01). Conclusion PAC can improve women′s contraceptive ability, reduce the rates of unplanned pregnancy, repeated abortion and postoperative complications, and therefore improve the psychological status of the women, and have a good clinical application value. |
| Key words: Induced abortion Accidental pregnancy Post-abortion care(PAC) |
