Analysis of risk factors and coping strategies of secondary infertility after artificial abortion
人工流产术后继发不孕的危险因素及应对策略剖析

摘要

目的 深入分析导致人工流产术后继发不孕的因素，并研究针对性的应对方案。方法 本次实验对象为人工流产术后继发不孕患者，人数共计64人，本次实验在2019年10月初开始实施，正式结束时间为2021年5月。研究人员在本次实验中应采用对所选患者进行全面细致的检查，对患者子宫、输卵管、白带、排卵情况进行检查，判断导致患者不孕的原因，以此为后续工作的开展提供可靠的依据。结果 细致分析本次实验，所选64例患者中四次及以上人工流产、三次人工流产、两次人工流产及一次人工流产人数分别为4人、6人、22人及32人，占比分别为6.25%、9.38%、34.38%及50.00%，不同流产次数患者不孕症出现情况不存在明显差异，（p＞0.05）；深入分析本次实验，导致所选患者人工流产术后继发不孕的因素主要包括输卵管因素、盆腔黏连、子宫内膜异位、宫颈及宫腔黏连等，人数分别为33人、17人、13人及1人，占比分别为51.56%、26.56%、20.31%、1.56%，数据之间表现出明显差异，（p＜0.05）。结论 输卵管因素、盆腔黏连、子宫内膜异位、宫颈及宫腔黏连等因素均有可能导致患者人工流产术后继发不孕，医护人员在实际工作中应注意规避上述情况的出现，并加强对患者的健康教育，以此避免不孕情况的出现。

Abstract

Objective: In-depth analysis of the factors that lead to secondary infertility after induced abortion, and study targeted coping strategies.
Methods: The subjects of this experiment were patients with secondary infertility after induced abortion, with a total of 64 people. The experiment started in early October 2019 and officially ended in May 2021. In this experiment, the researchers should conduct a comprehensive and detailed examination of the selected patients, examine the patient’s uterus, fallopian tubes, leucorrhea, and ovulation, and determine the cause of the patient’s infertility, so as to provide reliable follow-up work. in accordance with.
Results: According to the detailed analysis of this experiment, the number of selected 64 patients with four or more abortions, three abortions, two abortions, and one abortion were 4, 6, 22, and 32, respectively, accounting for the proportions Respectively 6.25%, 9.38%, 34.38% and 50.00%, there is no significant difference in the occurrence of infertility in patients with different abortion times (p>0.05); in-depth analysis of this experiment led to secondary abortion in selected patients The infertility factors mainly include fallopian tube factors, pelvic adhesions, endometriosis, cervical and uterine cavity adhesions, etc. The numbers were 33, 17, 13 and 1 respectively, accounting for 51.56% and 26.56 respectively. %, 20.31%, 1.56%, there are significant differences between the data (p<0.05).
Conclusion  : Fallopian tube factors, pelvic adhesions, endometriosis, cervix and uterine cavity adhesions and other factors may cause secondary infertility after induced abortion. Medical staff should pay attention to avoiding these situations in actual work. And strengthen the health education of patients to avoid the emergence of infertility.