放置宫内节育器的常见并发症及其防治措施分析  

Analysis of the common complications and prevention measures of intrauterine device placement

作　　者：叶伟萍 林秀娜 Ye Weiping;Lin Xiuna(Operating Room,Longcheng Maternal and Child Health and Family Planning Service Centre of Shenzhen City,Guangdong Province,Guangdong Shenzhen 518172)

机构地区：[1]广东省深圳市龙城妇幼保健计划生育服务中心手术室,广东深圳518172

出　　处：《中国社区医师》2021年第7期66-67,共2页Chinese Community Doctors

摘　　要：目的:探讨放置宫内节育器(IUD)的常见并发症及防治措施。方法:选取2018年10月-2019年11月放置IUD后出现并发症的患者58例,分析并发症类型及防治措施。结果:临床常见并发症包括下腹疼痛23例(39.66%),感染13例(22.41%),异常出血12例(20.69%),节育器异常6例(10.34%)例,带器妊娠4例(6.90%);患者接受治疗后,未发生不良事件,治疗总有效率为100.00%。结论:在放置IUD的手术过程中,医生要严格遵循手术标准,并提高技术操作的专业水准,以保证节育环的正确放置。同时,放置IUD的女性要定期接受检查,听从医生叮嘱予以正确护理,可减少并发症的出现。Objective:To explore the common complications and prevention measures of intrauterine device placement.Methods:From October 2018 to November 2019,58 cases of patients with complications after IUD placement were enrolled,the types of complications and prevention measures were analyzed.Results:Common clinical complications included lower abdominal pain in 23 cases(39.66%),13 cases were infection(22.41%),12 cases were abnormal bleeding(20.69%),6 cases were abnormal IUD(10.34%)and 4 cases were pregnancy with IUD(6.90%).After treatment,no adverse events occurred,the total effective rate of treatment was 100%.Conclusion:In the operation process of placing IUD,doctors should strictly follow the operation standard and improve the professional level of technical operation to ensure the correct placement of IUD,meanwhile,the women with IUD should receive regular examination,follow the doctor's advice and give correct care,which can reduce the occurrence of complications.

关 键 词：宫内节育器 并发症 带器妊娠 下腹疼痛 感染 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]