5896例带器妊娠妇女资料分析  

Retrospective analysis of 5896 women with pregnancy and IUD in situ

作　　者：巴磊[1] 王冠融 施雯慧[1] 杨月华[1] 周健[1] 许豪勤 BA Lei;WANG Guanrong;SHI Wenhui;YANG Yuehua;ZHOU Jian;XU Haoqin(Jiangsu Institute of Planned Parenthood Research/State Contraceptives Adverse Reaction Surveillance Center, Nanjing,Jiangsu Province, 210036)

机构地区：[1]江苏省计划生育科学技术研究所,国家卫健委计划生育药具不良反应监测中心,南京210036

出　　处：《中国计划生育学杂志》2020年第4期539-542,共4页Chinese Journal of Family Planning

基　　金：江苏省卫健委指导课题(Z2017003);江苏省青年医学重点人才项目(QNRC2016555);江苏省科技厅项目(BM2018033-2)。

摘　　要：目的:探讨使用宫内节育器(IUD)带器妊娠的可能影响因素和特点,为临床安全使用IUD提供参考建议。方法:回顾性分析2016-2018年全国116个国家级避孕药具不良反应监测点提交的使用IUD带器妊娠不良事件报告5896例资料。结果:对象中首次置器4206例(71.3%),IUD位置改变2814例(47.7%)。IUD在使用初期发生带器妊娠占比较多,之后呈下降趋势。结论:IUD使用早期对年轻对象加强IUD位置的影像学检查可有效减少部分带器妊娠发生,对发生异位妊娠占比高的IUD有必要开展进一步研究。Objective:To explore the possible influencing women with pregnancy and intrauterine device(IUD)in situ,and to provide evidence for clinical safe application of IUD.Methods:The date of 5896 women with pregnancy and IUD in situ from 116 national monitoring sites for adverse drug reactions between 2016 and 2018 were analyzed retrospectively.Results:Among them,there were 4206(71.34%)women were inserted IUD for the first time.The IUD location was changed in 2814 women(47.7%).In the early stage of IUD used,the incidence of women with pregnancy was relatively high,followed by a downward trend.Conclusion:Young women inserted IUD should be strengthened the imaging examination of the IUD position in the early stage of IUD used for reducing the incidence of pregnancy with IUD in situ effectively.It is necessary to carry out further research on the types of IUD with high proportion of pregnancy with IUD in situ.

关 键 词：宫内节育器 带器妊娠 异位妊娠 不良事件 有效性 

分 类 号：R16[医药卫生—公共卫生与预防医学]