CAJ | 학술논문

目的：总结育龄妇女宫内放置节育器的不良反应，探讨解决措施。方法选择我院产科门诊手术室2012年1月至2014年10月600例宫内放置节育器的育龄期妇女作为观察对象，并对其临床资料进行回顾性分析，总结宫内放置节育器不良反应发生原因。结果宫内放置节育器的主要不良反应为节育器脱落（163例／27．2％），出血（107例／17．8％），生殖道感染（100例／16．7％），腰腹疼痛（87例／14．5％），月经过多（51例／8．5％），带器妊娠（14例／2．3％）；所有患者经过对症处理后，症状均得到缓解。结论育龄期妇女宫内放置节育器后，可引发多种不良反应，导致因症取器发生率逐年上升。术前应根据子宫大小选择合适节育器，减少宫腔操作，告知育龄期妇女置器后应合理用药，并定期来院观察随访，能够有效减少置器不良反应发生率。
목적：총결육령부녀궁내방치절육기적불량반응，탐토해결조시。방법선택아원산과문진수술실2012년1월지2014년10월600례궁내방치절육기적육령기부녀작위관찰대상，병대기림상자료진행회고성분석，총결궁내방치절육기불량반응발생원인。결과궁내방치절육기적주요불량반응위절육기탈락（163례／27．2％），출혈（107례／17．8％），생식도감염（100례／16．7％），요복동통（87례／14．5％），월경과다（51례／8．5％），대기임신（14례／2．3％）；소유환자경과대증처리후，증상균득도완해。결론육령기부녀궁내방치절육기후，가인발다충불량반응，도치인증취기발생솔축년상승。술전응근거자궁대소선택합괄절육기，감소궁강조작，고지육령기부녀치기후응합리용약，병정기래원관찰수방，능구유효감소치기불량반응발생솔。
Objective We were to summarize adverse reactions induced by intrauterine devices placed in fertile women and to explore solutions.Methods The fertile women who received intrauterine devices placement in department of gynecology in our hospital during June 2013 and October 2014, 600 cases, were chosen as research object, their clinical data were analyzed retrospectively, summarized the reasons which caused adverse reactions.Results The main adverse reactions induced by intrauterine devices place were the synthetic fall off (163, 27.2%), bleeding (107, 17.8%), reproductive tract infections (100, 16.7%), waist and abdomen pain (87, 14.5%), menorrhagia (51, 8.5%), pregnancy with device (14, 2.3%).After symptomatic treatment, all symptoms were alleviated.Conclusions The placement of intrauterine devices can cause a variety of adverse reactions.The incidence of intrauterine devices taken is rising year by year.Choose intrauterine devices according to uterine cavity size, reduce operation in uterine cavity, rational administration and regularly hospital visit can effectively reduce incidence of adverse reactions.