| 人工流产术后即刻放置曼月乐与含铜节育器的临床效果研究 |
| 投稿时间：2015-12-14 修订日期：2016-02-04 点此下载全文 |
| 引用本文：剧蕴慧,刘素巧,石彬,杨超,冯园园.人工流产术后即刻放置曼月乐与含铜节育器的临床效果研究[J].医学研究杂志,2016,45(8):101-104 |
| DOI：
10.11969/j.issn.1673-548X.2016.08.027 |
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| 基金项目:石家庄科学技术研究与发展计划基金资助项目（131462603） |
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| 中文摘要:目的 比较人工流产后即时放置曼月乐与含铜节育器的临床效果以及不良反应。方法 选择自愿要求放置IUD的300例人工流产女性，按照数字表法随机分为观察组和对照组各150例，其中观察组在人工流产术后即时放置曼月乐；对照组在人工流产后即刻放置含铜节育器，节育器放置后随访12个月，观察两组研究对象终止使用IUD率、带器妊娠率及不良反应。结果 术后6个月对照组终止使用IUD率、带器妊娠率、脱落比例，因症取出和术后并发症取出率对照组高于观察组，但差异无统计学意义（P>0.05）；术后12个月对照组终止使用IUD率、带器妊娠率和因出血而终止使用率均高于观察组，差异有统计学意义（P<0.05），脱落比例和因术后并发症取出率对照组高于观察组，差异无统计学意义（P>0.05），月经量增加和经期延长是最常见的不良反应，对照组术后6个月两种不良反应发生率明显高于观察组，差异有统计学意义（P<0.05），两组随访6～12个月时观察组月经量减少患者明显增加，与对照组比较，差异有统计学意义（P<0.05）。结论 曼月乐避孕效率高，不良反应相对较少，适合于人工流产后即时放置以避免重复流产的发生。 |
| 中文关键词:人工流产 即时放置 曼月乐 含铜节育器 |
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| Comparition the Effectiveness of Mirena and Cu-intrauterine Device Immediately after Artificial Abortion |
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| Abstract:Objective To compare the effectiveness and adverse reaction of Mirena and Cu-intrauterine device immediately after artificial abortion. Methods Totally 300 pregnant women requesting voluntarily receive IUD treatment immediately after abortion surgery were randomly divided into experimental group and control group, with each group 150 case.Subjects in the experimental group were treated with intrauterine devices (Mirena) after induced abortion,and those in control group were treated with Cu-intrauterine after artificial abortion. The study subjects were followed up for 12 months after placement of IUD. The IUD discontinuation rate,pregnancy with IUD rates and adverse reaction in the two groups were observed and compared. Results The IUD discontinuation rate,pregnancy with IUD rates,removal rate, the removal of the disease and the removal rate of postoperative complications in contral group were more than those in experimental group on six months after operation,and the difference was not statistically significant (P>0.05).The IUD discontinuation rate,pregnancy with IUD rates,termination rate of bleeding in contral group were more than those in experimental group on twelve months after operation,and the difference was statistically significant(P<0.05). The removal rate, the removal of the disease in contral group were more than those in experimental group on twelve months after operation,and the no significant differences(P>0.05).The increase of menstruation and the extension were the most common adverse reaction. The incidence of adverse reaction was higher in the control group than that in the experimental group at 6 months after operation, and the difference was statistically significant (P <0.05). The Menstrual volume decreased significantly increased in experimental group,and the difference was statistically significant (P<0.05). Conclusion Mirena is relatively effective with fewer adverse reactions and is suitable for immediate ～ after induced abortion to prevent repeated abortions. |
| keywords:Artificial abortion Immediate placement Mirena Cu-intrauterine device |
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