未育青年女性负压吸引人工流产术后即时放置吉妮致美宫内节育器效果观察  

Observation of the effect of fixed intrauterine device (IUD) inserted immediately after induced abortion in young nulliparas

作　　者：佟玲霞[1] 朱凌云[1] 邓立峰[1] 项莉萍[1] 朱维培[1] TONG Lingxia;ZHU Lingyun;DENG Lifeng;XIANG Liping;ZHU Weipei(The Second Affiliated Hospital of Soochow University,Suzhou city,Jiangsu Province,215004)

机构地区：[1]苏州大学附属第二医院,215004

出　　处：《中国计划生育学杂志》2021年第6期1096-1099,共4页Chinese Journal of Family Planning

基　　金：和杰-玛丽斯特普青年长效可逆避孕(青年LARC)专项研究基金。

摘　　要：目的:探讨未育青年女性负压吸引人工流产术后即时放置吉妮致美宫内节育器(IUD)的避孕效果及不良反应,以及未育青年女性中哪些人群更易接受放置IUD避孕,从而为IUD在未育青年女性中的应用提供依据。方法:拟终止早孕的200例≤25岁未育女性,根据负压吸引人工流产术后自愿选择的避孕方法,分为IUD组(放置吉妮致美IUD)和对照组(用其它非长效可逆避孕方法),每组100例,比较两组术后12个月内月经、IUD脱落、再次妊娠、性生活频数及避孕措施等。结果:术后出血量、出血时间及月经量、月经时间两组差异无统计学意义;放置IUD后腰痛、阴道分泌物增多等发生率<5%;意外妊娠率(0%)低于对照组(6%)(P=0.035);性生活频数高于对照组(P=0.003);文化程度分布和婚姻状况两组差异无统计学意义;IUD组有工作者占比(46%)高于对照组(28%);流产次数高于对照组。结论:未育年轻女性人工流产负压吸引术后即时放置吉妮致美IUD安全、可靠、有效,流产次数多、有工作者和性生活频数高的未育青年女性更愿意接受放置IUD避孕。Objective:To explore the contraceptive effect and adverse reactions of intrauterine device(IUD)inserted immediately after induced abortion in young nulliparas women,and to study which childless young women with more likely to accept IUD as contraception,so as to provide theoretical evidence for promoting IUD used in the childless young women.Methods:A total of 200 childless pregnant women(25 years old or less)who wanted to induced abortion were selected,and were divided experimental group(100 women with IUD inserted after induced abortion immediately)and control group(100 women with non-long-acting reversible contraceptive)based on the voluntary principle of these women.The situations of postoperative menstruation,IUD discharge,pregnancy again,sexual life frequency,and contraceptives used of the women in the two groups were analyzed.Results:There were no significant differences in the amount of postoperative bleeding,bleeding time,and menstrual volume,and the time of menstrual recovery of the women between the two groups.The incidences of low back pain and increased vaginal secretions of the women in the experimental group were significant less than 5%.The rate of unintended pregnancy again(0%)of the women in the experimental group was significant lower than that(6%)of the women in the control group(P=0.035).The sexual life frequency of the women in the experimental group was significant higher than that of the women in the control group(P=0.003).There were no significant differences in the distribution of educational level and marital status of the women between the two groups.The proportion of the women in work(46%)in the experimental group was significant higher than that(28%)of the women in the control group.The number of abortions of the women in the experimental group was significant higher than that of the women in the control group.Conclusion:It is safe,reliable and effective of IUD inserted after induced abortion immediately in young nulliparas.The young nulliparas with more times of abortion,in work,and

关 键 词：未育青年女性 人工流产 宫内节育器 避孕 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]