不同分娩史妇女早孕负压吸宫术后即时放置吉妮致美IUD的多中心临床观察  

A multicenter clinical observation of medicated genefixed IUD inserted immediately after vacuum aspiration in early pregnant women with different previous delivery mode

作　　者：吴尚纯 李来宝 张建英 陈立霞 罗小婉[4] 金平[5] 杨艳娥 乐华[7] 庞文艳 孟凡荣 WU Shangchun;LI Laibao;ZHANG Jianying;CHen Lixia;LUO Xiaowan;JIN Ping;YANG Yane;LEHua;PANG Wenyan;MENG Fanrong(National Research Institute For Family Planning,Beijing,100081;Haiyan Maternal and Child Care Service Centre,Jiangsu Province;Zhangjiakou Maternal and Child Health Care Hospital,Hebei Province;ZhongshanBoai hospital(Maternal and Child Health Care Hospital of Zhongshan),Guangdong Province;Shenzhen Maternity&Child Health Care Hospital,Guangdong Province;Shenzhen Far East Obstetrics and Gynecology Hospital,Guangdong Province;Yangzhou Maternal and Child Health Hospital,Jiangsu Province;Maternity and Child Health Care Hospital of Laizhou,Shandong Province;Maternal and Child Health Hospital of Dongchangfu District,Liaocheng,Shandong Province)

机构地区：[1]国家卫生健康委科学技术研究所,北京100081 [2]浙江省海盐县妇幼保健院 [3]河北省张家口市妇幼保健院 [4]广东省中山市博爱医院/中山市妇幼保健院 [5]深圳市妇幼保健院 [6]深圳远东妇产医院 [7]江苏省扬州市妇幼保健院 [8]山东省莱州市妇幼保健院 [9]山东省聊城市东昌府区妇幼保健院

出　　处：《中国计划生育学杂志》2023年第6期1291-1295,共5页Chinese Journal of Family Planning

摘　　要：目的:观察不同分娩史妇女早孕负压吸宫术后即时放置吉妮致美IUD的效果。方法:将2017年1月-2019年10月在15家医院自愿要求于负压吸宫术后即时放置吉妮致美IUD的2994例作为观察对象,根据既往分娩方式分为阴道分娩组(1617例)和剖宫组(1377例),随访12个月。结果:共有2610例观察对象纳入12个月生命表分析,剖宫产组(1129例)放置12个月的帶器妊娠、脱落相关终止、因症取出和IUD相关终止的比尔指数分别为每百妇女年0.39、2.70、2.21、5.22,均高于阴道分娩组(1481例)的每百妇女年0.07、1.90、1.73、3.67,但两组间差异无统计学意义(P>0.05)。结论:不同分娩史对早孕负压吸宫术后即时放置吉妮致美IUD的效果无明显影响。Objective:To observe the efficacy of medicated genefixed intrauterine device(IUD)inserted immediately after vacuum aspiration in early pregnant women with different delivery mode.Methods:Subjects were recruited from 15 hospitals during January 2017to October 2019.2994early pregnant women who request IUD insertion immediately after vacuum aspiration were allocated into vaginal delivery group(n=1617)and cesarean section group(n=1377)according to their previous delivery mode.And these women were followed up for one year.Results:2610subjects were included in one year life table analysis.The Bearl index of the pregnancy with IUD in situ,the expulsion related discontinuation,the IUD removal due to medical reasons,and the total IUD related discontinuation of the women in the cesarean section group(n=1129)were 0.39,2.70,2.21,and 5.22/100woman year,respectively,and which were all higher than those of the women in the vaginal delivery group(n=1481,and 0.07,1.90,1.73,and 3.67/100woman year),but the difference between the two groups was not statistical significant(P>0.05).Conclusion:Previous delivery mode has no effect on the contraceptive efficacy of medicated genefixed IUD inserted immediately after vacuum aspiration.

关 键 词：吉妮致美宫内节育器 分娩方式 负压吸宫术流产后即时放置 避孕效果 生命表分析 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]