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目的:探讨流产后关爱(post-abortion care,PAC)对生育妇女在流产术后即刻落实高效避孕措施的影响。方法:将行人工流产术的811名已生育妇女,分为PAC服务前的对照组385例和PAC服务后的观察组426例。对照组按常规人工流产程序进行,观察组按PAC流程对流产妇女进行干预,并对所有对象随访1年。比较观察组和对照组患者在术后即刻落实高效避孕措施的情况,并比较两者的避孕措施续用率和重复流产率。结果:与对照组相比,观察组在术后采取高效避孕措施的人数明显增多,两者差异具有统计学意义(P<0.05)。观察组术后1个月的短效口服避孕药续用率为96.54%,对照组续用率为92.39%,其差异无统计学意义(P>0.05)。而观察组术后3个月、6个月以及1年的短效复方口服避孕药(COC)的续用率分别为73.9%、47.8%和39.6%,均高于对照组,其差异具有统计学意义(P<0.05)。观察组术后1个月和3个月的宫内节育器(IUD)续用率与对照组相比较,差异无统计学意义(P>0.05)。而观察组术后6个月以及1年的IUD续用率为98.94%和96.84%,均高于对照组,其差异具有统计学意义(P<0.05)。术后1年,观察组患者的重复流产率为0.23%,低于对照组的1.37%,其差异具有统计学意义(P<0.05)。结论:PAC服务对于提高生育妇女流产术后选择高效可逆的避孕方法,有着非常重要的影响,同时提高了IUD和短效口服避孕药的续用率,有效降低了重复流产率,保障了女性生殖健康和身心健康。
Objective: To investigate the effect of post-abortion care (PAC) on effective contraception in fertile women after abortion. Methods: A total of 811 pregnant women who underwent induced abortion were divided into control group (385 cases before PAC service) and observation group (426 cases after PAC service). Control group according to routine abortion procedures, the observation group according to the PAC flow intervention abortion women, and all the patients were followed up for 1 year. Patients in the observation group and control group were treated with effective contraception immediately after the operation, and the contraceptive recovery rate and repeated abortion rate were compared between the two groups. Results: Compared with the control group, the number of observation group after taking effective contraception increased significantly, the difference between the two groups was statistically significant (P <0.05). The effective rate of short-term oral contraceptives in observation group was 96.54% at 1 month after operation and 92.39% in control group. The difference was not statistically significant (P> 0.05). The follow-up rates of short-acting compound oral contraceptives (COC) in the observation group at 3 months, 6 months and 1 year after surgery were 73.9%, 47.8% and 39.6%, respectively, which were higher than those in the control group Significance (P <0.05). The IUD recurrence rate in the observation group at 1 month and 3 months after operation was not significantly different from that in the control group (P> 0.05). In the observation group, the IUD renewal rates at 6 months and 1 year after surgery were 98.94% and 96.84%, respectively, which were significantly higher than those in the control group (P <0.05). One year after operation, the rate of repeat abortion in the observation group was 0.23%, which was lower than that in the control group (1.37%, P <0.05). CONCLUSIONS: The PAC service has a very important impact on improving the selection of highly effective and reversible methods of contraception after abortion among fertility women. It also improves the rate of IUD and short-term oral contraceptive use, reduces repeat abortion rates and protects female reproduction Health and wellbeing.