本文關(guān)鍵詞：流產(chǎn)后關(guān)愛服務(wù)聯(lián)合低頻電脈沖對(duì)人工流產(chǎn)術(shù)后子宮復(fù)舊的影響研究　出處：《河北醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 流產(chǎn)后關(guān)愛服務(wù) 低頻電脈沖 人流術(shù)后子宮復(fù)舊 避孕藥 宮內(nèi)節(jié)育器

【摘要】：目的:探討流產(chǎn)后關(guān)愛服務(wù)(PostAbortion Care,PAC)聯(lián)合低頻電脈沖對(duì)人工流產(chǎn)術(shù)(以下簡(jiǎn)稱人流術(shù))后子宮復(fù)舊的影響。方法:按照預(yù)設(shè)的納入標(biāo)準(zhǔn),選取2014年10月-2015年10月在滄州市婦幼保健院實(shí)行人工流產(chǎn)術(shù)的患者246例,把這些病例隨機(jī)分為兩組:觀察組206例、對(duì)照組(人流術(shù)后常規(guī)處理對(duì)照組)40例。觀察組按照患者知情同意的原則和接受流產(chǎn)后關(guān)愛服務(wù)的患者人工流產(chǎn)后選擇的即時(shí)避孕方式,又分為低頻電脈沖組42例,避孕藥組40例,宮內(nèi)節(jié)育器組41例,避孕藥聯(lián)合低頻電脈沖組42例,宮內(nèi)節(jié)育器聯(lián)合低頻電脈沖組41例。對(duì)照組采取人流術(shù)常規(guī)方式處理,觀察組中的低頻電脈沖組,在對(duì)照組的基礎(chǔ)上,給予低頻電脈沖,避孕藥組和宮內(nèi)節(jié)育器組,在對(duì)照組的基礎(chǔ)上,按照流產(chǎn)后關(guān)愛服務(wù)標(biāo)準(zhǔn)流程進(jìn)行操作,其中,避孕藥組患者給予復(fù)方短效口服避孕藥優(yōu)思明(屈螺酮炔雌醇片),宮內(nèi)節(jié)育器組患者在人工流產(chǎn)術(shù)后即時(shí)放置帶銅T形宮內(nèi)節(jié)育器(TCu-IUD),避孕藥聯(lián)合低頻電脈沖組,給予患者流產(chǎn)后關(guān)愛服務(wù)(避孕藥)聯(lián)合低頻電脈沖治療,宮內(nèi)節(jié)育器聯(lián)合低頻電脈沖組,給予患者流產(chǎn)后關(guān)愛服務(wù)(宮內(nèi)節(jié)育器)聯(lián)合低頻電脈沖治療。比較各組間陰道流血持續(xù)時(shí)間、陰道出血量、術(shù)后2周子宮三徑線之和及宮腔積液和月經(jīng)恢復(fù)時(shí)間情況。用SPSS17.0統(tǒng)計(jì)軟件分析結(jié)果。結(jié)果:觀察組中的低頻電脈沖組和流產(chǎn)后關(guān)愛服務(wù)組的陰道流血持續(xù)時(shí)間均短于對(duì)照組,陰道出血量均少于對(duì)照組,術(shù)后2周子宮三徑線之和均小于對(duì)照組,宮腔積液發(fā)生率均低于對(duì)照組,月經(jīng)恢復(fù)時(shí)間均短于對(duì)照組,流產(chǎn)后關(guān)愛服務(wù)聯(lián)合低頻電脈沖組與低頻電脈沖和流產(chǎn)后關(guān)愛服務(wù)組相比,陰道流血持續(xù)時(shí)間短,陰道出血量少,術(shù)后2周子宮三徑線之和小,宮腔積液發(fā)生率低,月經(jīng)恢復(fù)時(shí)間短,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05),流產(chǎn)后關(guān)愛服務(wù)和低頻電脈沖均能促進(jìn)人流術(shù)后子宮復(fù)舊,而且流產(chǎn)后關(guān)愛服務(wù)聯(lián)合低頻電脈沖對(duì)促進(jìn)人流術(shù)后子宮復(fù)舊具有協(xié)同作用;流產(chǎn)后關(guān)愛服務(wù)組,由于選擇的流產(chǎn)后即時(shí)避孕方式的不同,對(duì)促進(jìn)子宮復(fù)舊的效果也不同,在縮短陰道流血持續(xù)時(shí)間和減少陰道出血量方面,避孕藥組優(yōu)于宮內(nèi)節(jié)育器組,避孕藥組和宮內(nèi)節(jié)育器組術(shù)后2周子宮三徑線之和的差異無統(tǒng)計(jì)學(xué)意義(P0.05),在降低術(shù)后2周宮腔積液發(fā)生率方面,避孕藥組優(yōu)于宮內(nèi)節(jié)育器組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),在月經(jīng)恢復(fù)時(shí)間方面,避孕藥組短于宮內(nèi)節(jié)育器組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1流產(chǎn)后關(guān)愛服務(wù)和低頻電脈沖均能明顯促進(jìn)人流術(shù)后子宮復(fù)舊。2流產(chǎn)后關(guān)愛服務(wù)中選擇的流產(chǎn)后即時(shí)避孕方式不同,對(duì)促進(jìn)子宮復(fù)舊的效果也不同,在縮短陰道流血持續(xù)時(shí)間和減少陰道出血量方面,避孕藥組優(yōu)于宮內(nèi)節(jié)育器組,避孕藥組和宮內(nèi)節(jié)育器組術(shù)后2周子宮三徑線之和無差異,在降低術(shù)后2周宮腔積液發(fā)生率方面,避孕藥組優(yōu)于宮內(nèi)節(jié)育器組,在月經(jīng)恢復(fù)時(shí)間方面,避孕藥組短于宮內(nèi)節(jié)育器組。3流產(chǎn)后關(guān)愛服務(wù)和低頻電脈沖對(duì)促進(jìn)人流術(shù)后子宮復(fù)舊具有明顯的協(xié)同作用。
[Abstract]:Objective: To investigate the post abortion care service (PostAbortion Care, PAC) combined with low frequency electric pulse on artificial abortion (hereinafter referred to as abortion) effect of uterine involution. Methods: according to the predetermined inclusion criteria, 246 cases were selected from October 2014 -2015 year in October the implementation of artificial abortion in maternal and Child Health Hospital of Cangzhou City, the case were randomly divided into two groups: 206 cases in the observation group, the control group (routine treatment group after abortion) in 40 cases. The observation group is in accordance with the principle of informed consent of patients with contraception and post abortion care patients after artificial abortion choice, divided into low frequency electric pulse group 42 cases, 40 groups of contraceptives cases of IUD group in 41 cases, the pill combined with low frequency electric pulse group 42 cases of IUD combined with low frequency electric pulse group in 41 cases. The control group took routine abortion treatment, low frequency electric pulse group in the observation group in the control group. Based on the given low frequency electric pulse, the pill group and IUD group, on the basis of the control group, in accordance with the standard procedure of post abortion care service operation, the pill group were treated with compound short acting oral contraceptive Yasmin (Drospirenone and Ethinylestradiol Tablets), intrauterine device in patients immediately after artificial abortion placed with copper T IUD (TCu-IUD), the pill combined with low frequency electric pulse group, patients were given post abortion care services (pill) combined with low frequency electric pulse therapy, IUD combined with low frequency electric pulse group, to give patients with post abortion care services (IUD) combined with low frequency electric pulse treatment. Comparisons between groups of vaginal bleeding the duration of vaginal bleeding, menstrual and uterine cavity effusion 2 weeks three diameter and postoperative recovery time of palace. The results were analyzed with SPSS17.0 statistical software. Results: the low frequency in the observation group Pulse group and post abortion care service group vaginal bleeding duration is shorter than the control group, the amount of vaginal bleeding was less than in the control group, after 2 weeks, three and uterine diameters were less than the control group, the incidence of ECF was lower than the control group, menstrual recovery time was shorter than the control group, after abortion care service combined with low frequency electric pulse group and low frequency electric pulse and post abortion care services group, vaginal bleeding, short duration, less amount of vaginal bleeding, postoperative 2 weeks and three small diameter of the uterus, uterine cavity effusion rate low, menstrual recovery time is short, the difference was statistically significant (P0.05), after abortion care service and low frequency electric pulse can promote the involution of uterus after abortion and post abortion care services, combined with low frequency electric pulse synergy to promote the involution of uterus after abortion with; care group after the abortion, the immediate postpartum contraceptive choice side flow The different type, to promote uterine involution effect is also different, in shortening the duration of vaginal bleeding and reduce the amount of vaginal bleeding, the pill group was better than that of IUD group, no significant group pill and IUD group after 2 weeks, three lines and the uterine size difference (P0.05), in the reduction of postoperative 2 week incidence of ECF, contraceptive group than the IUD group, the difference was statistically significant (P0.05), in the menstrual recovery time, the pill group was shorter than the IUD group, the difference was statistically significant (P0.05). Conclusion: 1 post abortion care service and the low frequency electric pulse could obviously promote the after selecting.2 involution of uterus after abortion care service immediately after abortion abortion contraception in different ways, to promote uterine involution effect is also different, in shortening the duration of vaginal bleeding and reduce the amount of vaginal bleeding, contraceptives were excellent In IUD group, group pill and IUD group after 2 weeks, three lines and no uterine size differences in the lower 2 weeks after operation, the incidence of ECF, contraceptive group than the IUD group, in the menstrual recovery time, the pill group was shorter than the IUD group.3 after abortion care service and low frequency electric pulse to promote after abortion have synergistic effects of uterine involution.

【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R169.42

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