云南省13500例男女绝育术后1年随访调查分析

目的：了解云南省男女性绝育手术对象术后1年情况。方法：采用问卷调查方式,调查内容包括手术对象对避孕措施的知晓情况、术后身体状况、身体不适出现的时间、对身体不适的处理及不适的转归等。结果：共有13500例手术对象接受了调查,其中女性10000例,男性3500例。结果显示,术后不适多出现于术后3～12个月,部位以腹部、腰部为主;部分不适与手术无明显关系;有6．4％在术后不适出现时会主动到计划生育服务机构寻求帮助。结论：计划生育工作者应主动展开术前咨询指导工作,使受术者真正做到对避孕节育方法及其副作用的知情;绝育术后不适呈多部位表现,不适主要于术后3个月-12个月间出现,故此时期为术后随访的重要时期;提高计划生育服务咨询技巧及定期随访意识,有助于提高绝育手术的有效性。

One Year Follow-up Investigation and Analysis on 13,500 Cases after sterilization in Yunnan Province

Objective: To understand the health conditions of cases one year after sterilization in Yunnan province.Methods: Questionnaire was adopted in this study,with the contents including the awareness of contraceptive measures,health condition after sterilization,the emergence time,management,and outcome of discomforts post-sterilization.Results: 13,500 cases were investigated,with 10,000 female cases and 3,500 male cases,respectively.The results showed that discomforts appeared from 3 to 12 months after sterilization,and the discomfort locations mainly focused on abdomen and waist.There was no significant relationship between some discomforts and sterilization.And 6.4% cases received help from family planning institute when the discomforts occurred.Conclusion: Family planning workers should supply the initiative counseling and instruction before sterilization in order to ensure the awareness of contraceptive methods and their side effects.The 3-12 months post-sterilization will be the important follow-up period with the high incidence of multi-site discomforts.The consulting skills of family planning service and the consciousness of regular follow-up should be improved to enhance the effectiveness of sterilization.