中华临床医师杂志(电子版) 2017年2月,11卷3期

临床论著

人工流产后生殖道感染的影响因素分析和对策

尹力

100035 北京市西城区平安医院妇科
尹力,Email: 13651040663@163.com

摘要: 目的 探讨人工流产后生殖道感染的影响因素,为实施预防性干预措施提供参考。方法 采用回顾性分析方法对2014年1月至2016年1月在北京西城区平安医院妇科门诊530例人工流产患者的临床资料进行分析。根据有无发生生殖道感染,分为生殖道感染组和无生殖道感染组。采用单因素和Logistic回归性分析对生殖道感染相关危险因素进行分析。结果 人工流产后生殖道感染的发生率为49.81%。单因素结果显示:性伴侣个数、是否采取避孕、是否有生殖道感染疾病史、卫生习惯是否良好、初次性行为年龄、人工流产后首次性生活时间等因素是人工流产后发生生殖道感染的相关因素。多因素Logistic回归性分析显示:性伴侣个数、是否采取避孕、是否有生殖道感染疾病史、卫生习惯是否良好、初次性行为年龄、人工流产后首次性生活时间等是人工流产后生殖道感染的独立危险因素。结论 人工流产后生殖道感染的发病率较高,应加强对高危人群的生殖健康和避孕方法的宣传,降低人工流产后生殖道感染的发病率。

关键词: 流产,人工; 生殖道感染; 影响因素

Influencing factor and prevention measures of reproductive tract infections after induced abortion patients

Yin Li. Department of Gynaecology

Department of Gynaecology, Beijing Xicheng District Ping'an Hospital, Beijing 100035, China
Yin Li, Email: 13651040663@163.com

Abstract:  Objective To explore the influencing factor of reproductive tract infections after induced abortion patients, and to provide reference for the preventive interventions. Methods From January 2014 to January 2016, the clinical data of 530 patients with induced abortion in our hospital were retrospectively analyzed. The patients were divided into the reproductive tract infection group and non reproductive tract infection based on artificial abortion cause genital tract infection. Single factor and Logistic regression analysis was carried out on the reproductive tract infection associated risk. Results The incidence of reproductive tract infection after artificial abortion was 49.81%. Single factor results showed that the number of sexual partners, whether the contraceptives, reproductive tract infections disease history, personal hygienic habits, the first time sexual intercourse age, an abortion after sexual intercourse for the first time after abortion were the related factors on abortion occurring after the genital tract infection. Multivariate Logistic regression analysis showed that the number of sexual partners, whether the contraceptives, reproductive tract infections disease history, personal hygienic habits, the first time sexual intercourse age, an abortion after sexual intercourse for the first time were independent risk factors for the development of reproductive tract infection after artificial abortion. Conclusions The incidence of reproductive tract infection after artificial abortion was higher, should strengthen the high-risk group of reproductive health and contraceptive methods of publicity, helps to reduce the incidence of reproductive tract infection after artificial abortion.

Keywords:Abortion, induced; Reproductive tract infections; Influencing factor

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参考文献

  [1] 张帝开, 秦君璞. 人工流产术后生殖道感染的防治[J]. 中国实用妇科与产科杂志, 2012, 28(9): 648-650.

  [2] 王晓, 钱小毛, 王芬娟, 等. 妊娠期妇女生殖道感染的临床分析[J]. 中华医院感染学杂志, 2013, 23(11): 2644-2645.

  [3] 张雨涛, 罗亚男. 浅谈人工流产手术对女性生殖道健康的影响[J]. 当代医药论丛, 2014, 12(9): 248-249.

  [4] 曹泽毅. 中华妇产科学[M]. 3版. 北京: 人民卫生出版社, 2014: 2132-2144.

  [5] 邵桂香. 吉林地区预防人工流产术后生殖道感染的相关措施[J]. 中国卫生产业, 2016, 13(10): 84-86.

  [6] 杨丽, 黄星, 白符. 人工流产影响因素及与生殖道感染关系[J]. 中国公共卫生, 2014, 30(4): 416-419.

  [7] 孙玲玲. 人工流产女性生殖道感染的影响因素分析及预防对策[J]. 实用预防医学, 2012, 19(9): 1365-1366.

  [8] 牟万宏. 人工流产后女性生殖道感染的影响因素分析及预防对策[J]. 中国卫生标准管理, 2015, 6(18): 18-19.

  [9] 赵彩虹. 人工流产后生殖道感染的影响因素分析[J]. 深圳中西医结合杂志, 2014, 24(2): 15-17.

  [10] 杨桂华. 生殖道感染患者的健康教育需求调查与指导对策[J]. 河北医学, 2015, 21(7): 1222-1224.

(编辑:戚红丹 收稿日期:2016-12-28)