目的:探讨人工流产术后即时应用新型短效口服避孕药--屈螺酮炔雌醇片的临床意义.方法:将行人工流产的年轻未生育妇女200例按术后避孕方式分为两组,人工流产术后接受口服屈螺酮炔雌醇片避孕者为观察组(100例),采用其他方式避孕者为对照组(100例).观察两组术后出血及月经情况,避孕效果及用药不良反应.结果:观察组出血量少,出血时间短,流产后月经恢复快,月经周期规律,无痛经,且避孕效果优于对照组(P＜0.05),无明显体重增加,药物不良反应轻.结论:人工流产后立即服用屈螺酮炔雌醇片是安全、有效,并具有额外益处的避孕方法.%Objective: To investigate the clinical significance of the immediate application of an oral contraceptive, drospirenone ethinyl estradiol tablets (Yasmin), after abortion. Methods: A total of 200 nulliparae who underwent induced abortion between June 2009 and March 2010 were recruited. They were divided into the study group ( n = 100) who were given Yasmin and the control group ( n = 100) who used other contraceptive measures. The amount and duration of vaginal bleeding after induced abortion, the recovery of menstruation, contraceptive effects and adverse reactions after treatment were evaluated. Results: Less and shorter duration of vaginal bleeding, more regular menstrual cycle, more effective contraception and no dysmenorrheal were observed in the study group ( P ＜ 0.05 ). In addition, there was no statistically significant weight gain and serious adverse reactions in the study group. Conclusion: Immediate application of Yasmin is safe and effective and has additional benefit of contraception.
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