本文選題：人工流產(chǎn)　切入點(diǎn)：高危因素　出處：《中國醫(yī)科大學(xué)學(xué)報(bào)》2015年11期

【摘要】：目的通過分析我院10年間人工流產(chǎn)患者高危因素的變化,為降低高危人工流產(chǎn)數(shù)量、預(yù)防手術(shù)并發(fā)癥及提高人工流產(chǎn)后服務(wù)質(zhì)量提供理論依據(jù)。方法回顧性分析2003年和2013年盛京醫(yī)院人工流產(chǎn)患者的一般情況及高危因素,比較高危因素?cái)?shù)量及構(gòu)成比的變化。結(jié)果與2003年相比,我院2013年人工流產(chǎn)患者非本地戶籍及農(nóng)村戶籍者所占比例均明顯增加(P0.05),尤其是非本地戶籍的患者所占比例由2003年的21.5%上升至2013年的44.9%。學(xué)歷背景中大專及以上學(xué)歷者所占比例明顯增加(P0.05),由2003年的23.4%上升至2013年的35.1%。2003年年齡≤20歲的患者僅占人工流產(chǎn)患者總數(shù)的1.5%,而2013年上升至4.5%。2003年我院計(jì)劃生育門診高危人工流產(chǎn)率為38.9%(1 380/3 544),前5位高危因素分別是半年內(nèi)有終止妊娠或1年內(nèi)有2次以上人工流產(chǎn)史或總計(jì)3次以上人工流產(chǎn)史、生殖系統(tǒng)腫物、剖宮產(chǎn)術(shù)后、稽留流產(chǎn)和帶器妊娠。2013年高危人工流產(chǎn)率為66.5%(3 059/4 597),前5位高危因素變?yōu)槠蕦m產(chǎn)術(shù)后、稽留流產(chǎn)、生殖系統(tǒng)腫物、半年內(nèi)有終止妊娠或1年內(nèi)有2次以上人工流產(chǎn)史或總計(jì)3次以上人工流產(chǎn)史和年齡≤20歲。結(jié)論 10年間高危人工流產(chǎn)數(shù)量明顯增加,高危因素構(gòu)成發(fā)生明顯變化,剖宮產(chǎn)術(shù)后、稽留流產(chǎn)及年齡≤20歲實(shí)施人工流產(chǎn)者明顯增加是高危人工流產(chǎn)率增加的主要原因。
[Abstract]:Objective to analyze the changes of high risk factors in patients with induced abortion in our hospital during the past 10 years, in order to reduce the number of high risk induced abortions. Methods the general situation and high risk factors of induced abortion in Shengjing Hospital in 2003 and 2013 were analyzed retrospectively. The changes in the number and composition of high risk factors were compared with those in 2003. In 2013, the proportion of non-local and rural residents with induced abortion in our hospital increased significantly, especially the proportion of non-local registered residents rose from 21.5% in 2003 to 44.9% in 2013. The proportion of patients with abortions increased significantly from 23.4% in 2003 to 35.1% in 2013. In 2003, the proportion of patients under 20 years of age accounted for only 1.5% of the total number of patients with induced abortion, while in 2013 it rose to 4.5.2003, the rate of high-risk abortions in family planning clinics of our hospital was 38.9% / 3,54444. The top five risk factors were termination of pregnancy within half a year, history of more than 2 induced abortions in one year or more than 3 induced abortions in total. Mass of the reproductive system, cesarean section, missed abortion and pregnancy with device. In 2013, the rate of high risk induced abortion was 66.559 / 4597%. The top five high risk factors became cesarean section, missed abortion, and mass of the reproductive system. There were two or more induced abortions in half a year or more in one year, and the age 鈮，

本文編號：1654624