摘要
目的:比较术中即时放置和月经后期放置曼月乐的避孕效果及不良反应的发生情况。方法:选取2011年3月~2013年11月来本院进行人工流产术并自愿要求放置曼月乐避孕的妇女194例。其中90例在术后即时放置(观察组),104例于月经4~7d放置(对照组)。对比两组妊娠率、续用率、脱环率及不良反应。结果:续用率观察组高于对照组,脱环率略低于对照组,但差异不具有统计学意义(X^2=0.265、0.209,P>0.05);观察组月经减少发生率(92.22%)略低于对照组(94.23%),但差异不具有统计学意义(X^2=0.311,P=0.577);观察组和对照组点滴出血分别发生19例、25例,差异不具有统计学意义(X^2=0.235,P=0.627),两组在异常出血、闭经方面差异不具有统计学意义(X^2=0.008、0.379,P>0.05)。结论:人工流产术后即时放置曼月乐的效果与正常经期放置效果相当,不会增加不良反应的发生风险,且避免了再次放置手术,值得临床应用。
Objective： To explore the clinical effect of levonorgestrel-releasing intrauterine system （LUG-IUS, Mirena） inserted immediately after induced abortion and 4 to 7 days of menstrual period . Methods： One hundred and ninety- four women were chosen in our hospital from March 2011 to November 2013 and were divided into two groups. Women in the observation group （n= 90） underwent LUG-IUS insertion immediately after surgical abortion; and those in the control group inserted LUG-IUS on 4 to 7days of menstrual period （n= 104）. The pregnancy rate, the expulsion rate, side effects and continuation rate were compared between the two groups. Results ： ,Compared with the control group, women in the observation group were slightly higher in the continuation rate, while lower in the expulsion rate （X^2= 0. 265,0.209, P 〉 0.05）. The relative amenorrhea rate in the observation group and the control group were 92.22% and 94.23%, showing no statistical difference （X^2=0.311 ,P=0.577）. Twenty-five women in the control group and 25 in the observation group were found bleeding spotting （X^2= 0. 235, P = 0.627）, and there were no statistical differences between two groups in abnormal bleeding and amenorrhea （X^2 =0.008,0.379 ,P〉0.05）. Conclusion： Immediate insertion of LUS-IUS after abortion is safety and feasibility, which is worthy of clinical application.
出处
《中国计划生育学杂志》
2015年第5期357-360,共4页
Chinese Journal of Family Planning
关键词
人工流产
宫内避孕器
避孕效果
不良反应
曼月乐
Artificial abortion
Intrauterine device
Contraceptive effect
Side effect
Mirena
