人工流产术后即时放置TCu380AIUD、活性γ型IUD及宫铜200IUD的临床分析  

Study on copper T380A,activeγand Gongtong 200 intrauterine device insertion immediately after artificial abortion

作　　者：王芳芳 

机构地区：[1]浙江省景宁县计划生育指导站,323500

出　　处：《中国计划生育学杂志》2015年第3期189-192,共4页Chinese Journal of Family Planning

摘　　要：目的：比较分析人工流产术后即时放置宫内节育器（IUD）TCu380A、活性γ型及宫铜200临床效果。方法：选取2012年5月～2013年5月在本站人工流产术后要求上放置IUD避孕的妇女240例,将其按照随机数字法随机分为A、B、C 3组各80例,分别于人工流产术后即时放置TCu380AIUD、活性γ型IUD及宫铜200IUD,观察3组的使用效果及不良反应。结果：使用满12个月时,3组妊娠率均为0.0%;脱落率分别为3.75%、1.25、3.75%,比较无差异（χ^2=1.177,P均〉0.05）;B组发生IUD倒置和旋转3例;3组续用率为92.5%、91.25%、86.25%,3组相比无统计学差异（χ^2=1.944,P均〉0.05）。随着随访时间的延长,3组月经异常、腰痛、腹痛、不规则出血及白带异常的发生率逐渐减少。在随访1个月时,A组月经量增多发生率及经期延长发生率虽高于B、C两组,但差异无统计学意义（χ^2=1.827,P〉0.05）;在随访1、3、6月C组的不规则出血率均高于A、B两组（χ^2=14.737、8.312和10.213,均P〈0.05）;在放置12个月后,B组总体副作用发生率低于A、C两组（χ^2=10.471,P〈0.05）。结论：TCu380AIUD、活性γ型IUD及宫铜200IUD在人工流产术后即时放置后避孕效果好,续用率高,副反应小,值得推广使用。Objective：To compare the clinical effects of copper T380 Aintrauterine device（IUD）,activeγIUD and Gongtong 200 IUD insertion immediately after artificial abortion.Methods：From May 2012 to May 2013 in our station240 women seeking for IUD insertion immediately after artificial abortion were selected and randomly divided into A,B and C groups（80women in each group）,and underwent cooper T380 AIUD,activeγIUD and Gongtong 200 IUD insertion,respectively.Clinical effects and adverse reactions of three groups were compared and observed.Results：After full use of 12 months,the pregnancy rates in the three groups were all 0;The expulsion rates were 3.75%,1.25%and3.75% respectively,showing no significant difference（χ^2= 1.177,P〉0.05）;There were 3cases of IUD rotation and inversion in group B;Continuation rates in three groups were 92.5%,91.25% and 86.25%,showing no statistical differences（χ^2= 1.944,P〉0.05）.Along with the duration of follow-up,the incidences of irregular menstrual abnormalities,back pain,abdominal pain,bleeding and abnormal leucorrhea of all patients gradually reduced.After 1-month follow-up,the incidence of menorrhagia and prolonged menstrual bleeding in group A were higher than those in group B and C,showing no statistically significant differences（χ^2= 1.827,P〉0.05）;At the time of 1,3and 6months of follow-up the irregular bleeding rate in group C was higher than those in group A and B（χ^2= 14.737,8.312and10.213,P all〈0.05）;After 12 months,the incidence of overall adverse reactions in group B was lower than those in group A and C（χ^2=10.471,P〈0.05）.Conclusion：The insertion of cooper T380 AIUD,activeγIUD and Gongtong200 IUD immediately after artificial abortion all have good contraceptive effects,high continuation rate and small adverse effects,and could be worthy of clinical application.

关 键 词：人工流产术 TCU380AIUD 活性γ型IUD 宫铜200IUD 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]