置器术时情况与宫内节育器异位的关系研究  

The study of the relationship between ectopic IUD and operation situation

作　　者：王冠融 孙志明[1] 杨月华[1] 施雯慧[1] 张学宁[1] 周健[1] 姚捷[1] 张敏[1] 陈颖[1] WANG Guan - rong SUN Zhi - ming YANG Yue - hua SHI Wen - hui ZHANG Xue - ning ZHOU Jian YAO Jie ZHANG Min CHEN Ying(Jiangsu Institute of Planned Parenthood Research, NPFPC Contraceptive Adverse Reaction Surveillance Center, Nanjing Jiangsu 210036, P. R. China)

机构地区：[1]江苏省计划生育科学技术研究所,国家人口计生委计划生育药具不良反应监测中心,江苏南京210036

出　　处：《中国计划生育和妇产科》2016年第11期67-70,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：江苏省卫生计生委指导性科技项目(项目编号:JSFPC2014012)

摘　　要：目的研究宫内节育器（intrauterine device，IUD）放置术的术时情况对IUD异位的影响，从而提出针对性的预防措施。方法采用1：1匹配的病例对照研究，将2013年7月～2015年6月期间国家人口计生委计划生育药具不良反应监测中心收集的104例IUD异位患者作为研究组，将104例同期放置IUD后的健康妇女作为对照组。通过结构式调查表进行资料收集，运用条件logistic回归进行危险因素的分析。结果两组宫腔深度、子宫位置、术中出血、术中用药、术后给药以及术后告知注意事项的情况相比较，差异均无统计学意义（P〉0．05）。两组术中疼痛发生率比较差异有统计学意义（P〈0．05），术中疼痛是IUD异位的危险因素，OR值为5．00（95％CI：1．45～17．27），调整混杂因素后，OR值为21．54（95％CI：3．17～146．44）。结论术中疼痛显著增加IUD异位风险，故应加强此类人群的定期随访，以减少IUD异位的发生。Objective To study the influence factors of ectopic intrauterine device in the placement of intrauterine device, so as to put forward the preventive measures. Methods 104 cases of IUD ectopic patients collected by the state contraceptives adverse reaction surveillance center from July 2013 to June 2015 were selected as the research group, and 104 cases of health females with IUD were selected as the control group. 1 ： 1 matched case control method was used, data was collected through structured questionnaire, conditional logistic regression was used to analyze the risk factors. Results There were no significant differences between the two groups in uterine cavity depth, uterine position, intraoperative bleeding, intraoperative medication, postoperative medication and postoperative care. There was a statistically significant difference in incidence of intraoperative pain between the case group and the control group （ P 〈 0. 05 ）. Intraoperative pain significantly increased risk of ectopic IUD and odds ratio （OR） was 5. 00 （95 % CI ： 1.45 ～17.27）. After adjusting for confounding factors, OR = 21.54（95% CI：3.17 ～ 146.44）. Conclusion Intraoperative pain significantly increased the risk of ectopic IUD. Therefore, regular follow - up with people who have intraoperative pain should be strengthened to reduce the incidence of ectopic IUD.

关 键 词：宫内节育器 异位 术中腹痛 

分 类 号：R715.2[医药卫生—妇产科学]