人工流产术后即时放置曼月乐56例临床观察  

Clinical Observation on the Efficacy of Immediate Post-abortion Insertion with Mirena in 5 6 Cases

作　　者：李军[1] 崔超美 

机构地区：[1]湖南省妇幼保健院,湖南长沙410008

出　　处：《医学临床研究》2014年第5期933-935,共3页Journal of Clinical Research

摘　　要：【目的】观察人工流产术后即时放置曼月乐的临床效果。【方法】湖南省妇幼保健院2010年1月至2012年12月接受人工流产术的育龄妇女112例，随机分为对照组和试验组，每组56例，对照组患者在人工流产术后即时放置T型宫内节育器，试验组患者在人工流产术后即时放置曼月乐环。3个月后对所有患者进行随访，追踪1年，观察两组的临床效果和不良反应。【结果】与对照组相比，试验组带器妊娠率、脱落率和因症取出率均较低，差异均有统计学意义（P ＜0．05）；副反应发生率，特别是月经量增多发生率更显著低于对照组（P ＜0．01）。【结论】与传统T型宫内节育器比较，曼月乐环是更为有效、安全、可靠的宫内避孕手段，其不良反应少，特别适用于月经量过多的患者。[Objective]To observe clinical efficacy of immediate post-abortion insertion with Mirena.[Meth-ods]Totally 1 1 2 women with reproductive age undergoing artificial abortion in maternal and child health hospital of Hunan province from Jan.2010 to Dec.2012 were randomly divided into control group and observation group with 5 6 cases in each group.The control group received immediate post-abortion insertion with T-intrauterine device, while the observation group received immediate post-abortion with Mirena .All patients were followed up after 3 months for 1 year.Clinical efficacy and adverse reaction in two groups were observed.[Results]The pregnancy rate with IUD in situ,expulsion rate and removal rate due to symptoms in observation group were lower than those in control group,and there was significant difference（P〈0.05）.Compared with control group,the incidence rate of adverse reactions,especially the incidence rate of menorrhagia increased（P 〈0.01）.[Conclusion]Compared with traditional T-intrauterine device,Mirena ring is more effective,safe and reliable methods of intrauterine con-traception,and has little adverse reactions.Therefore,it is especially suitable for patients with menorrhagia.

关 键 词：流产 人工 避孕 

分 类 号：R714.21[医药卫生—妇产科学]