摘要
目的探讨在人工流产术后不同时间段放置曼月乐宫内节育器的临床避孕效果。方法选取2014年4月~2016年4月我院收治的58例行人工流产术并自愿放置曼月乐宫内节育器的女性作为研究对象,按照曼月乐宫内节育器放置时间的不同分为实验组和参照组,每组各29例。其中,人工流产术后立即放置曼月乐宫内节育器的女性作为实验组,人工流产术后第1次月经来潮后的4~7 d放置曼月乐宫内节育器的女性作为参照组。对比两组女性不同时间段放置曼月乐宫内节育器的临床避孕效果。结果两组女性的节育器续用率、脱环率比较,差异无统计学意义(P>0.05)。两组女性的月经减少、点滴出血发生率比较,差异均无统计学意义(P>0.05)。结论对于行人工流产术并自愿放置曼月乐宫内节育器的女性,在术后直接放置曼月乐宫内节育器的效果与术后第1经期来潮后放置曼月乐宫内节育器,效果不存在明显差异,不会增加不良反应的发生率,可以避免女性进行二次手术以达到避孕效果,值得临床上借鉴并进一步普及应用。
Objective To investigate the clinical contraceptive effect of Mirena intrauterine device （IUD） in different time periods after induced abortion.Methods 58 women who were given induced abortion and were voluntarily placed with Mirena IUD who were admitted to our hospital from April 2014 to April 2016 were selected as the study subjects. According to the different time periods of the placement of Mirena IUD,the patients were divided into the experimental group and the control group,with 29 cases in each group.Among them,the women who were placed with Mirena IUD im- mediately after induced abortion were selected as the experimental group,and the women who were plaeed with Mirena IUD 4-7 days after the first menstruation after induced abortion were selected as the control group.The clinical contra- ceptive effect of Mirena IUD placed at different time periods was compared between the two groups.Results In terms of the re-use rate and the de-ring rate of Mirena IUD were compared between the the experimental group and control group,and the differences were not statistically significant （P〉0.05）.The incidence rate of menstrual reduction and slight bleeding were compared between the two groups of women,and the differences were not statistically significant （P〉0.05）. Conclusion For women who were given induced abortion and were voluntarily placed with Mirena IUD,the effect of di- reedy placing Mirena IUD after the abortion and placing Mirena IUD after the first menstrual cycle is not significantly different.It does not increase the incidence rate of adverse reactions.Women can avoid a second surgery to achieve the contraceptive effect.This is worthy of clinical learning and further popularization and application.
出处
《中国当代医药》
2017年第34期119-121,共3页
China Modern Medicine
关键词
人工流产
不同时间
曼月乐宫内节育器
避孕效果
Induced abortion
Different time periods
Mirena intrauterine device （IUD）
Contraceptive effect
