流产术后皮下埋植与宫内放置TCu220 IUD避孕效果分析  

Analysis of the effect of subdermal implantation contraception and intrauterine device TCu220 used after artificial abortion

作　　者：李咏梅[1] 黄敬东[1] 蒋庆兰 王雪珍[1] LI Yongmei;HUANG Jingdong;JIANG Qinglan;WANG Xuezhen(Leshan Hospital of Traditional Chinese Medicine,Sichuan Province,614000)

机构地区：[1]四川省乐山市中医院,614000

出　　处：《中国计划生育学杂志》2020年第9期1360-1363,共4页Chinese Journal of Family Planning

基　　金：四川省卫生计生委科研项目(16PJ443)。

摘　　要：目的:比较皮下埋植避孕与放置TCu220宫内节育器(IUD)避孕在人工流产术后效果。方法:选取2016年1月—2017年12月本院行人工流产术且有长期避孕需求的300例妇女,采用随机数字表法分为埋植组(流产术后即刻给予Implanon皮下埋植剂避孕)147例、IUD组(放置含铜IUD)143例,均随访24个月,比较两组随访期间带药(器)妊娠、脱落、因症取出、盆腔感染等不良事件发生率,记录与避孕相关副反应发生情况、续用率,采用简明健康状况问卷(SF 36)评价术前及术后生活质量。结果:随访24个月内,埋植组因症取出率(1.4%)、不良事件总发生率(1.4%)均低于IUD组(6.3%、11.9%),月经量增多(2.0%)、经期延长(6.1%)、局部不适感总发生率(1.4%)均低于IUD组(7.0%、13.3%、9.1%),月经稀发或闭经总发生率(7.5%)高于IUD组(1.4%)(均P<0.05);埋植组续用率(95.9%)高于IUD组(89.5%),两组术后6、12、24个月SF 36评分均高于术前,且埋植组术后12、24月SF 36评分高于同期IUD组(均P<0.05)。结论:人工流产术后给予皮下埋植或含铜IUD避孕均可取得良好避孕效果且有较高续用率,对改善女性生活质量有积极意义;皮下埋植避孕不良事件、避孕相关副反应发生率及续用率更低。Objective:To compare the application effect of subdermal implantation contraception and intrauterine device(IUD)TCu220 used after artificial abortion.Methods:300 women who had undergone artificial abortion and had long term contraceptive needs were selected as the research subjects from January 2016 to December 2017,and were divided into group A(157 women with subdermal implantation)and group B(143 women with IUD inserted)according to the random number table method.The incidences of adverse events such as pregnancy with subdermal implantation/IUD,expulsion,withdrawal due to disease,pelvic infection,and other adverse events of women during followed up were compared between the two groups.The rates of contraceptive related adverse reactions and continue used of women in both groups were recorded.The quality of life of the women before and after abortion was evaluated by short form health questionnaire(SF 36).Results:During 24 months of followed up,the rates of removal due to disease,total adverse events,menorrhagia,menostaxis,and total discomfort of women in group A were 1.4%,1.4%,2.0%,and 1.4%,respectively,which were significant lower than those(6.3%,11.9%,7.0%,13.3%,and 9.1%,respectively)of women in group B,but the rate of oligomenorrhea or amenorrhea of women in group A was 7.5%,which was significant higher than that(1.4%)of women in group B(all P<0.05).24 months after abortion,the continuation rate of women in group A was 95.9%,which was significant higher than that(89.5%)of women in group B.6,12 and 24 months after abortion,SF 36 scores of women in the two groups had significantly increase,and SF 36 scores of women in group A in 12 and 24 months after abortion were significant higher than those of women in group B(all P<0.05).Conclusion:Both subdermal implantation and copper containing IUD used after artificial abortion have good contraceptive effects,which are positive for improving the quality of life of women.The rates of adverse events contraceptive related side effects,and continue using of subdermal impl

关 键 词：人工流产术后避孕 皮下埋植 含铜宫内节育器 副反应 生活质量 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]