摘要
目的探讨早期人工流产后生殖道感染状况及危险因素分析。方法选择2019年1月-2022年1月于河南科技大学第一附属医院治疗的早期人工流产200例患者病例资料,根据生殖道感染发生情况分为感染组(n=86),未感染组(n=114)。收集患者临床资料,分析早期人工流产后发生生殖道感染的危险因素。结果早期人工流产后生殖道感染检出率为43.00%(86/200),其中支原体、衣原体感染24.42%(21/86);细菌性阴道病32.56%(28/86);子宫颈炎16.28%(14/86);盆腔炎11.63%(10/86);念珠菌性阴道炎15.12%(13/86);单因素分析显示,两组年龄、文化程度、婚姻状况、职业、流产次数、生育史差异均无统计学意义(P均>0.05);两组初次性交年龄、是否避孕、性伴侣个数、个人卫生、流产后首次性生活、生殖道感染疾病史差异均有统计学意义(χ^(2)=6.817、18.721、11.973、10.311、14.944、5.138,P均<0.05)。多因素非条件logistic分析结果显示,初次性交年龄、是否避孕、性伴侣个数、个人卫生、流产后首次性生活、生殖道感染疾病史均是早期人工流产后发生感染的独立危险因素(P<0.05)。结论早期人工流产后生殖道感染发生率较高,初次性交年龄、是否避孕、性伴侣个数、个人卫生、流产后首次性生活、生殖道感染疾病史是其发生的影响因素,临床上应重视具有危险因素的患者,提高治疗效果。
Objective To study the reproductive tract infection status and risk factors after early induced abortion.Methods 200 patients with early induced abortion treated in the First Affiliated Hospital of Henan University of Science and Technology from January 2019 to January 2022 were selected,and they were divided into infection group(n=86)and non-infection group(n=114)according to the occurrence of reproductive tract infection.The clinical data of patients were collected to analyze the risk factors of reproductive tract infection after early induced abortion.Results In this study,the detection rate of reproductive tract infection after early induced abortion was 43.00%(86/200),including mycoplasma and chlamydia infection 24.42%(21/86).Bacterial vaginosis 32.56%(28/86),cervicitis 16.28%(14/86),pelvic inflammatory disease 11.63%(10/86)and candida vaginitis 15.12%(13/86).Univariate analysis showed no significant differences in age,educational level,marital status,occupation,abortion frequency and reproductive history between the two groups(all P>0.05).There were significant differences in the age of first sexual intercourse,contraception,number of sexual partners,personal hygiene,first sexual life after abortion,and history of reproductive tract infection between two groups(χ^(2)=6.817,18.721,11.973,10.311,14.944,5.138,all P<0.05).Multivariate logistic analysis showed that age of first sexual intercourse,contraception,number of sexual partners,personal hygiene,first sexual life after abortion and history of reproductive tract infection were independent risk factors for infection after early induced abortion(P<0.05).Conclusions The incidence of reproductive tract infection after early induced abortion was relatively high;the age of first sexual intercourse,contraception,the number of sexual partners,personal hygiene,the first sexual life after abortion,and the history of reproductive tract infection disease were the influencing factors.Clinical attention should be paid to patients with these risk factors to improve the therapeutic effect.
作者
靳闪闪
邓巧子
段丽艳
JIN Shanshan;DENG Qiaozi;DUAN Liyan(Gynecology Clinic of the First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471000,China)
出处
《热带医学杂志》
CAS
2023年第8期1153-1156,共4页
Journal of Tropical Medicine
基金
河南省医学科技攻关计划(2018020984)
关键词
早期
人工流产
生殖道
Early
Induced abortion
Reproductive tract
作者简介
靳闪闪(1981-),女,硕士,主治医师,研究方向为生殖健康,E-mail:jinshan090903@163.com
