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目的:分析计划生育节育术后引起出血的影响因素以及治疗措施。方法:选取2016年1月-2016年12月100例计划生育节育手术患者作为观察对象,根据患者术后有无阴道出血情况进行分组:出血组和未出血组,采集两组患者的临床资料,分析节育手术后阴道出血的影响因素。并给予术后阴道出血患者提供相应的治疗措施,观察出血组患者的临床疗效。结果:100例患者中有35例术后出现阴道出血的现象。通过单因素分析发现,不良分娩史、感染、多次人工流产史、宫内残留物以及内分泌紊乱等因素是造成计划生育节育手术后阴道出血的影响因素。通过多因素分析法发现,不良分娩史、多次人工流产史以及宫内残留物是造成计划生育节育手术后阴道出血的高危因素。通过给予术后阴道出血患者口服避孕药治疗,服用1周后均达到较好的止血效果。结论:需要加强不良分娩史、感染、多次人工流产史、宫内残留物以及内分泌紊乱患者的术后观察,并指导具有上述影响因素患者在术后口服避孕药,从而起到较好的止血效果。
Objective: To analyze the influencing factors of hemorrhage after birth control and its treatment. Methods: From January 2016 to December 2016, 100 cases of family planning birth control surgery were selected as the observation subjects. According to the patients with or without vaginal bleeding after operation, the patients were divided into hemorrhage group and non-hemorrhage group. The clinical data of two groups were collected, Analysis of influencing factors of vaginal bleeding after birth control surgery. And give the patients with postoperative vaginal bleeding to provide the appropriate treatment measures to observe the bleeding in patients with clinical efficacy. Results: 35 of 100 patients had vaginal bleeding after surgery. Univariate analysis found that adverse delivery history, infection, repeated abortion history, intrauterine residue and endocrine disorders and other factors are the influencing factors of vaginal bleeding after birth control. Multivariate analysis found that the history of poor delivery history, repeated abortion and intrauterine residue were the risk factors of vaginal bleeding after birth control. By giving oral contraceptives to patients with postoperative vaginal bleeding, they all achieved better hemostatic effect after taking for one week. CONCLUSIONS: Postoperative observation of adverse childbirth history, infection, multiple abortion history, intrauterine residue and endocrine disorders needs to be strengthened and patients with the above mentioned factors should be given oral contraceptives after surgery to provide better hemostasis effect.