西藏高原地区成熟避孕方法综合推广研究  

The Study on Comprehensive Extending of Contraceptives Methods in Tibet

作　　者：拉布[1] 格桑卓噶[1] 边吉[1] 张军[1] 嘎布[1] 普布卓玛 仁真 晋美 旺拇 吴尚纯[3] 董敬[3] 

机构地区：[1]西藏自治区第二人民医院妇产科,拉萨850000 [2]西藏自治区人口和计划生育委员会 [3]国家人口计生委科学技术研究所

出　　处：《中国计划生育学杂志》2006年第4期205-208,共4页Chinese Journal of Family Planning

基　　金："十五"国家科技攻关项目

摘　　要：目的:满足高原地区农牧民育龄妇女知情选择的需求,在西藏推广应用成熟的避孕方法。方法:对基层计划生育/生殖保健人员培训和对育龄群众开展宣传、咨询服务,落实4种避孕措施。结果:共为农牧区的1992例妇女落实了宫内节育器(IUD)、皮下埋植、单纯孕激素避孕针和复方避孕针。经6个月的两次随访,只有农区的6例IUD终止使用。4种避孕方法的副反应以月经问题为主,但对其有较好的耐受性。结论:妇女的居住地域、年龄、孕产次及哺乳情况等对其方法的选用均有一定的影响。但无论在农区还是牧区,所引入的4种避孕方法均有很好的效果和良好的可接受性和适应性。Objective ： To extend widely - used contraceptive methods to meet the demands and needs of in - formed choice for the women of childbearing age in Tibet. Methods ： Service providers of family planning and reproductive health were trained, and women got such information and knowledge by counseling and accepting propaganda. Results： Totally 1 992 women accepted four contraceptive methods i.e. IUD, Implant, DMPA and CIC in the farming and pasturing areas. Only six women stopped using IUD based on two times follow- up survey within six months in the farming areas. The main side effect was changing of menstrual bleeding pattern, but four contraceptive methods were well tolerated for them. Conclusion： The choice of contraceptive methods were affected by living areas, women＇s age, gravidity and parity, breast feeding, etc. The four modem contraceptions were well accepted and highly effective in farming and pasturing areas.

关 键 词：高原妇女 知情选择 宫内节育器 皮下埋植 单纯孕激素避孕针 复方避孕针 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]