人工流产术后放置宫内节育器与口服避孕药的避孕效果及安全性比较  

Contraceptive efficacy and safety comparison between intrauterine device placement and oral contraceptives after induced abortion

作　　者：周娟娟 ZHOU Juanjuan(Department of Obstetrics and Gynecology,Xishan People′s Hospital in Wuxi City,Jiangsu Province,Wuxi214105,China)

机构地区：[1]江苏省无锡市锡山人民医院妇产科,江苏无锡214105

出　　处：《中国当代医药》2022年第27期114-117,共4页China Modern Medicine

摘　　要：目的探讨在人工流产术后放置宫内节育器和口服避孕药两种方法的避孕效果及安全性。方法选取无锡市锡山人民医院妇产科2019年9月至2021年9月收治的116例人工流产术患者作为研究对象,按照患者意愿分为试验组(51例)和对照组(65例)。试验组术后放置左炔诺孕酮宫内节育系统(曼月乐),对照组口服避孕药,比较两组的干预效果。结果随访三个月,两组的避孕失败率比较,差异无统计学意义(P>0.05);试验组术后出血持续时间低于对照组,差异有统计学意义(P<0.05);试验组患者的正确使用率高于对照组,差异有统计学意义(P<0.05);试验组患者的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论人工流产术后放置曼月乐与口服避孕药均能取得理想的避孕效果,但使用曼月乐的患者依从性更好且整体安全性较高,值得临床借鉴。Objective To investigate the contraceptive effect and safety of two methods of placing intrauterine device and oral contraceptives after induced abortion.Methods A total of 116 patients with induced abortion who were admitted to the Department of Obstetrics and Gynecology of Xishan People′s Hospital in Wuxi City from September 2019 to September 2021 were selected as the research objects,and divided into the experimental group(51 cases)and the control group(65 cases)according to the patients′wishes.The levonorgestrel-releasing intrauterine system(Mirena)was placed in the experimental group after operation,and the oral contraceptive was used in the control group.The intervention effects of the two groups were compared.Results There was no significant difference in the rate of contraceptive failure between the two groups(P>0.05).The duration of postoperative bleeding in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The correct usage rate of experimental group was higher than that of control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion After artificial abortion,both Mirena and oral contraceptives can achieve the ideal contraceptive effect,but the safety of Mirena is relatively high,worthy of clinical reference.

关 键 词：人工流产术 左炔诺孕酮宫内节育系统 避孕药 不良反应 

分 类 号：R714.21[医药卫生—妇产科学]