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孕早期流产的危险因素。

Risk factors in first-trimester abortion.

作者信息

Heisterberg L, Sonne-Holm S, Andersen J T, Hebjørn S, Dyring-Andersen K, Hejl B L

出版信息

Acta Obstet Gynecol Scand. 1982;61(4):357-60.

PMID:7148411
Abstract

Among 238 women who underwent first-trimester abortion and who were randomized to the placebo group in a clinical controlled trial we studied the possible correlation of the variables age, parity, number of previous spontaneous and induced abortions, previous pelvic inflammatory disease (PID), gestational age, chronic pelvic pain, dyspareunia, dysmenorrhea, social status, and the application of an intrauterine device (IUD) at abortion - to the number of days with pain, bleeding, discharge, fever, absence from work, and day of first coitus after abortion. The ANOVA test of Kruskal-Wallis with the limit of significance p less than 0.05 was employed. Women with one or more previous spontaneous abortions had significantly more days with postabortive bleeding (p = 0.010). Women with previous PID and women with dysmenorrhea had significantly more days with pain after abortion (p = 0.011 and p = 0.001). Women at a gestational age of 11-12 weeks had significantly more days with fever (p = 0.009). Women who had an IUD inserted at abortion suffered more days with pain and bleeding (p = 0.038 and p = 0.043). No one group of women carried a risk of several severe complaints after abortion except those with a history of PID.

摘要

在一项临床对照试验中,我们对238名接受孕早期人工流产并被随机分配到安慰剂组的女性进行了研究,分析了年龄、产次、既往自然流产和人工流产次数、既往盆腔炎(PID)、孕周、慢性盆腔疼痛、性交困难、痛经、社会地位以及人工流产时是否放置宫内节育器(IUD)等变量与疼痛天数、出血天数、分泌物天数、发热天数、缺勤天数以及人工流产后首次性交日期之间的可能相关性。采用了显著性水平p小于0.05的Kruskal-Wallis方差分析检验。有一次或多次既往自然流产史的女性流产后出血天数显著更多(p = 0.010)。既往有PID的女性和有痛经的女性流产后疼痛天数显著更多(p = 0.011和p = 0.001)。孕周为11 - 12周的女性发热天数显著更多(p = 0.009)。人工流产时放置IUD的女性疼痛和出血天数更多(p = 0.038和p = 0.043)。除了有PID病史的女性外,没有一组女性在人工流产后存在多种严重不适的风险。

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