中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
27期
28-29
,共2页
宫内节育器%应用%效果
宮內節育器%應用%效果
궁내절육기%응용%효과
the intrauterine device%application%effect
目的：观察三种宫内节育器（IUD)临床应用效果。方法：选择2009年1月1日～2013年12月31日在裕民县妇幼保健院放置3种IUD的妇女共1025名，实际调查972名。以随机方法分3组，放置3种不同的IUD，其中吉妮环（GyneFixNiIUD)289例、爱母环（MCuIUD)308例、花环（HCu280IUD)375例，于放置后1月、3月、6月、12月及24月进行随访。结果：3种IUD24月脱落率分别为0.69%、2.27%、2.4%，放置GyneFixNiIUD低于其他两组，差异有显著性（p<0.05)；带器妊娠率分别为0.69%、0.64%、0.8%,3者相比差异无显著性（p>0.05).。因症取出率分别为1.73%、4.55%、1.87%，放置MCuIUD高于其他两组，差异有显著性（p<0.01）。累积续用率分别为96.86%、92.86%、95.47%，放置MCuIUD低于其他两组，差异有显著性（p>0.05)。结论：3种节育环各有优缺点，医生要根据手术者的身体条件严格掌握适应症和不同IUD的特点，放置合适的节育环，为广大妇女服务。
目的：觀察三種宮內節育器（IUD)臨床應用效果。方法：選擇2009年1月1日～2013年12月31日在裕民縣婦幼保健院放置3種IUD的婦女共1025名，實際調查972名。以隨機方法分3組，放置3種不同的IUD，其中吉妮環（GyneFixNiIUD)289例、愛母環（MCuIUD)308例、花環（HCu280IUD)375例，于放置後1月、3月、6月、12月及24月進行隨訪。結果：3種IUD24月脫落率分彆為0.69%、2.27%、2.4%，放置GyneFixNiIUD低于其他兩組，差異有顯著性（p<0.05)；帶器妊娠率分彆為0.69%、0.64%、0.8%,3者相比差異無顯著性（p>0.05).。因癥取齣率分彆為1.73%、4.55%、1.87%，放置MCuIUD高于其他兩組，差異有顯著性（p<0.01）。纍積續用率分彆為96.86%、92.86%、95.47%，放置MCuIUD低于其他兩組，差異有顯著性（p>0.05)。結論：3種節育環各有優缺點，醫生要根據手術者的身體條件嚴格掌握適應癥和不同IUD的特點，放置閤適的節育環，為廣大婦女服務。
목적：관찰삼충궁내절육기（IUD)림상응용효과。방법：선택2009년1월1일～2013년12월31일재유민현부유보건원방치3충IUD적부녀공1025명，실제조사972명。이수궤방법분3조，방치3충불동적IUD，기중길니배（GyneFixNiIUD)289례、애모배（MCuIUD)308례、화배（HCu280IUD)375례，우방치후1월、3월、6월、12월급24월진행수방。결과：3충IUD24월탈락솔분별위0.69%、2.27%、2.4%，방치GyneFixNiIUD저우기타량조，차이유현저성（p<0.05)；대기임신솔분별위0.69%、0.64%、0.8%,3자상비차이무현저성（p>0.05).。인증취출솔분별위1.73%、4.55%、1.87%，방치MCuIUD고우기타량조，차이유현저성（p<0.01）。루적속용솔분별위96.86%、92.86%、95.47%，방치MCuIUD저우기타량조，차이유현저성（p>0.05)。결론：3충절육배각유우결점，의생요근거수술자적신체조건엄격장악괄응증화불동IUD적특점，방치합괄적절육배，위엄대부녀복무。
objective: to observe the three kinds of intrauterine device (IUD) clinical effect. Methods: on January 1, 2009-2013, December 31, in he county maternal and child health care placed a total of 1025 women of the three kinds of IUD, actual survey 972. Placed in three groups by random method, three different types of IUD, including JiNiHuan GyneFix Ni (IUD) in 289 cases, love mother wreath of IUD (MCu) 308 cases, 280 IUD quil (HCu) of 375 cases in place after 1 month, 3 months, 6 months, 12 months and 24 months of fol ow-up. Results: the three IUD24 month fal off rate is respectively 0.69%, 2.27%, 2.4%, placing GyneFix Ni IUD is lower than the other two groups, with significant difference (p< 0.05); With pregnancy rates were 0.69%, 0.64%, 0.8%, compared to those 3 there was no significant difference (p > 0.05). Because disease remove rate is respectively 1.73%, 4.55%, 1.87%, MCu is placed an IUD is higher than other two groups, with significant difference (p < 0.01). Cumulative fol ow-up YongLv are 96.86%, 92.86% and 96.86%respectively, MCu is placed an IUD is lower than the other two groups, with significant difference (p > 0.05). Conclusion: the three kinds of coil each have advantages and disadvantages, the doctor according to the operation of physical condition strictly grasp the indications and the characteristics of different IUD, place the appropriate coil, serve the masses of women.
