中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2012年
17期
1209-1211
,共3页
Vcu%TCu380A%宫内节育器
Vcu%TCu380A%宮內節育器
Vcu%TCu380A%궁내절육기
VCu%TCu380%IUD
目的 比较VCu与TCu380A两种宫内节育器在有剖宫产史妇女中使用的效果和各自的特点,为育龄妇女知情选择避孕方法提供依据.方法 2008年2月至2009年8月广东省阳江市计划生育服务中心对自愿要求放置宫内节育器(IUD)、身体健康且无上环禁忌证并有剖宫产史妇女400例,随机放置了VCu与TCu380A,其中放置VCu环200例,放置TCu380A 200例,于放置后3、6、12个月进行随访.结果 在12个月末VCu和TCu380A带器妊娠率分别为1.02％ (2/196)和4.64％(9/194),脱落率分别为0(0/196)和3.1％ (6/194),因症取出率分别为1.02％(2/196)和4.13％(8/196).两种IUD妊娠率比较,差异有统计学意义(P＜0.05)；VCu脱落率和因症取出率均低于TCu380A,差异有统计学意义(P＜0.05)；VCu的累积续用率高于TCu380A(P＜0.05).结论 VCu避孕效果优于TCu380A,放置12个月时VCu未发生明显的不良反应,且具有放置方法灵活简便、脱落率低、因症取出率低、累积续用率高等优点,值得临床推广.
目的 比較VCu與TCu380A兩種宮內節育器在有剖宮產史婦女中使用的效果和各自的特點,為育齡婦女知情選擇避孕方法提供依據.方法 2008年2月至2009年8月廣東省暘江市計劃生育服務中心對自願要求放置宮內節育器(IUD)、身體健康且無上環禁忌證併有剖宮產史婦女400例,隨機放置瞭VCu與TCu380A,其中放置VCu環200例,放置TCu380A 200例,于放置後3、6、12箇月進行隨訪.結果 在12箇月末VCu和TCu380A帶器妊娠率分彆為1.02％ (2/196)和4.64％(9/194),脫落率分彆為0(0/196)和3.1％ (6/194),因癥取齣率分彆為1.02％(2/196)和4.13％(8/196).兩種IUD妊娠率比較,差異有統計學意義(P＜0.05)；VCu脫落率和因癥取齣率均低于TCu380A,差異有統計學意義(P＜0.05)；VCu的纍積續用率高于TCu380A(P＜0.05).結論 VCu避孕效果優于TCu380A,放置12箇月時VCu未髮生明顯的不良反應,且具有放置方法靈活簡便、脫落率低、因癥取齣率低、纍積續用率高等優點,值得臨床推廣.
목적 비교VCu여TCu380A량충궁내절육기재유부궁산사부녀중사용적효과화각자적특점,위육령부녀지정선택피잉방법제공의거.방법 2008년2월지2009년8월광동성양강시계화생육복무중심대자원요구방치궁내절육기(IUD)、신체건강차무상배금기증병유부궁산사부녀400례,수궤방치료VCu여TCu380A,기중방치VCu배200례,방치TCu380A 200례,우방치후3、6、12개월진행수방.결과 재12개월말VCu화TCu380A대기임신솔분별위1.02％ (2/196)화4.64％(9/194),탈락솔분별위0(0/196)화3.1％ (6/194),인증취출솔분별위1.02％(2/196)화4.13％(8/196).량충IUD임신솔비교,차이유통계학의의(P＜0.05)；VCu탈락솔화인증취출솔균저우TCu380A,차이유통계학의의(P＜0.05)；VCu적루적속용솔고우TCu380A(P＜0.05).결론 VCu피잉효과우우TCu380A,방치12개월시VCu미발생명현적불량반응,차구유방치방법령활간편、탈락솔저、인증취출솔저、루적속용솔고등우점,치득림상추엄.
Objective To study and compare the clinical efficacies and characteristics of VCu intrauterine device (IUD) and TCu380A IUD in childbearing-aged women with previous cesarean section so as to provide rationales for an informed choice of contraceptive methods.Methods According to their physical status,a total of 400 women undergoing previous cesarean section were randomly provided VCu IUD and TCu380A IUD from February 2008 to August 2009.These healthy women were had no contraindication to IUD.The volunteers required voluntarily the placement of IUD.Then all of them were followed up for 3,6 and 12 months.Results At Month 12,the pregnant rate with IUD in situ of VCu and TCu380A IUD were 1.02％ and 4.64％,expulsion rate 0 and 3.1％ and withdrawing rate 1.02％ and 4.13％ respectively.The pregnant rate was significantly different ( P ＜ 0.05 ) ; VCu showed a lower expulsion and withdrawing rate than that in TCu380A (P＜0.05) ; the continuation rate of VCu was higher than that of TCu380A ( P ＜ 0.05).Conclusion VCu offers a better efficacy of contraception with a lower expulsion and withdrawing rate,a higher continuation rate and a simpler placement method.
