| 摘要: |
| 目的 探讨人口学特征及妇科因素对流动育龄妇女药物流产的影响。方法 选取2016年10月至2017年10月进行药物流产的1226例流动育龄妇女，收集、记录人口学特征信息，并对其行妇科及超声检查。结果 1049例药流成功（85.56%）,177例药流失败（16.87%），远低于文献所报道的药物流产成功率92%[1]，两组数据在年龄、剖宫产史，停经天数、孕囊直径、子宫位置、生殖道畸形、盆腔炎症方面差异有统计学意义（P＜0.05），而患者在是否已婚、学历、职业、流动时间、吸烟、饮酒、流产史、以及是否合并子宫肌瘤等方面差异无统计学意义（P＞0.05）。年龄＜20岁、剖宫产≥2次、停经45~49d、孕囊直径≥20mm、合并生殖道畸形及慢性盆腔炎症则是影响流动育龄妇女药物流产成功的高危因素。结论 关注流动育龄妇女的生殖健康，并选择适宜的流产方式，以提高药物流产的成功率。 |
| 关键词: 流动育龄妇女 药物流产 影响因素 |
| DOI：10.16118/j.1008-0392.2018.05.021 |
| 投稿时间：2018-08-13 |
| 基金项目: |
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| Risk factors of drug abortion failure in floating pregnant women |
| Lü Yan-ping,LIANG Qiu-feng |
| (Dept. of Birth Control, Maternity and Child Care Hospital, Jiading District, Shanghai 201821, China) |
| Abstract: |
| Objective To explore the risk factors of drug abortion failure in floating pregnant women. Methods Total 1226 floating pregnant women with drug abortion were enrolled from October 2016 to October 2017. The demographic and clinical data were collected and analyzed. Results Among 1226 pregnant women, 1049 cases had successful drug abortion and 177 cases failed(14.4%), the successful rate(85.6%) was lower than that reported in literature(92%). There were significant differences in age, history of cesarean section, menopause days, gestational sac diameter, uterine position, uterine malformation and pelvic inflammation (P<0.05), while no statistically significant differences in marriage status, occupation, floating time, smoking, drinking, contraception, pregnant times, history of abortion, uterine fibroids(P>0.05) between successful abortion and failed abortion groups. Logistic regression analysis showed that less than 20 years of age, more than two caesarean sections, 45-49 days of menopause, gestational sac diameter≥20mm, combined with uterine deformity and chronic pelvic inflammatory disease were risk factors of drug abortion failure in floating pregnant women. Conclusion To improve the success rate of drug abortion, attention should be paid to the reproductive health of floating pregnant women and to choose appropriate abortion methods is also needed. |
| Key words: floating pregnant women drug abortion influenced factor |
