CAJ | 학술논문

【目的】观察人工流产术后即时放置曼月乐的临床效果。【方法】湖南省妇幼保健院2010年1月至2012年12月接受人工流产术的育龄妇女112例，随机分为对照组和试验组，每组56例，对照组患者在人工流产术后即时放置T型宫内节育器，试验组患者在人工流产术后即时放置曼月乐环。3个月后对所有患者进行随访，追踪1年，观察两组的临床效果和不良反应。【结果】与对照组相比，试验组带器妊娠率、脱落率和因症取出率均较低，差异均有统计学意义（P ＜0．05）；副反应发生率，特别是月经量增多发生率更显著低于对照组（P ＜0．01）。【结论】与传统T型宫内节育器比较，曼月乐环是更为有效、安全、可靠的宫内避孕手段，其不良反应少，特别适用于月经量过多的患者。
【목적】관찰인공유산술후즉시방치만월악적림상효과。【방법】호남성부유보건원2010년1월지2012년12월접수인공유산술적육령부녀112례，수궤분위대조조화시험조，매조56례，대조조환자재인공유산술후즉시방치T형궁내절육기，시험조환자재인공유산술후즉시방치만월악배。3개월후대소유환자진행수방，추종1년，관찰량조적림상효과화불량반응。【결과】여대조조상비，시험조대기임신솔、탈락솔화인증취출솔균교저，차이균유통계학의의（P ＜0．05）；부반응발생솔，특별시월경량증다발생솔경현저저우대조조（P ＜0．01）。【결론】여전통T형궁내절육기비교，만월악배시경위유효、안전、가고적궁내피잉수단，기불량반응소，특별괄용우월경량과다적환자。
[Objective]To observe clinical efficacy of immediate post-abortion insertion with Mirena.[Meth-ods]Totally 1 1 2 women with reproductive age undergoing artificial abortion in maternal and child health hospital of Hunan province from Jan.2010 to Dec.2012 were randomly divided into control group and observation group with 5 6 cases in each group.The control group received immediate post-abortion insertion with T-intrauterine device, while the observation group received immediate post-abortion with Mirena .All patients were followed up after 3 months for 1 year.Clinical efficacy and adverse reaction in two groups were observed.[Results]The pregnancy rate with IUD in situ,expulsion rate and removal rate due to symptoms in observation group were lower than those in control group,and there was significant difference(P<0.05).Compared with control group,the incidence rate of adverse reactions,especially the incidence rate of menorrhagia increased(P <0.01).[Conclusion]Compared with traditional T-intrauterine device,Mirena ring is more effective,safe and reliable methods of intrauterine con-traception,and has little adverse reactions.Therefore,it is especially suitable for patients with menorrhagia.