CAJ | 학술논문

目的：研究比较安舒环与TCu220宫内节育器（ IUD）的应用效果。方法自愿采用IUD避孕的育龄妇女800例，按随机数字表法分为两组各400例，研究组采用安舒环，对照组采用TCu220，置环后随访12个月，对比两组使用效果和不良反应。结果研究组置环后白带增多、淋漓出血、腰腹疼痛、经量增多等不良反应发生率及IUD脱落、因症取出率均明显低于对照组（ P＜0．05）；研究组总续用率明显高于对照组（ P＜0．05）。结论安舒环具有不良反应少、脱落率、因症取出率低、续用率高等优点。
목적：연구비교안서배여TCu220궁내절육기（ IUD）적응용효과。방법자원채용IUD피잉적육령부녀800례，안수궤수자표법분위량조각400례，연구조채용안서배，대조조채용TCu220，치배후수방12개월，대비량조사용효과화불량반응。결과연구조치배후백대증다、림리출혈、요복동통、경량증다등불량반응발생솔급IUD탈락、인증취출솔균명현저우대조조（ P＜0．05）；연구조총속용솔명현고우대조조（ P＜0．05）。결론안서배구유불량반응소、탈락솔、인증취출솔저、속용솔고등우점。
Objective To compare the clinical effects between two intrauterine device ( IUD):Phil anschutz ring and TCu220 IUD.Methods A total of 800 reproductive women without contraindications were randomly assigned to two groups ,with 400 cases in each group .The research group was placed with Phil anschutz ring and the control group with TCu220 IUD.The application effect and adverse reactions were compared between 2 groups after 12-month follow-up.Results The incidence of adverse reactions including increased leucorrhea ,bleeding,lumber-abdominal pain and menorrhea as well as the rates of ring shift and falling in the research group were significantly lower than those in the control group ( P<0 .05 ) .The continuation rate in the research group was significantly higher than that in the control group ( P<0 .05 ) .Conclusion Phil anschutz ring has the advantages of less adverse reaction ,lower rates of ring shift and falling ,higher continuation rate .