中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
8期
77-79
,共3页
宫内节育器%嵌顿%影响因素
宮內節育器%嵌頓%影響因素
궁내절육기%감돈%영향인소
Intrauterine device%Incarcerated%Influencing factor
目的：探索宫内节育器嵌顿的危险因素，为减少宫内节育器嵌顿的发生提供依据。方法：选取2009年3月至2014年5月我院收治的宫内节育器嵌顿患者80例作为病例组，同期门诊80名未发生宫内节育器嵌顿者为对照组，分析宫内节育器嵌顿的相关因素。结果：单因素分析，病例组的痛经发生率（57.5％）高于对照组（38.7％），差异有统计学意义（χ2＝5.633，P ＜0.05）；病例组与对照组上环时间差异有统计学意义（χ2＝10.569，P ＜0.01）；病例组中妇科炎症发生率（52.5％）高于对照组（26.3％），差异有统计学意义（χ2＝12.545，P ＜0.01）；病例组带环怀孕发生率为（58.7％）高于对照组（8.8％），差异有统计学意义（χ2＝44.724，P ＜0.01）。经 Logistics 回归分析痛经、上环时机、妇科炎症、带环时间和带环怀孕是宫内节育器嵌顿的独立危险因素。结论：在放置宫内节育器前综合考虑妇女的综合状态，选择适宜的宫内节育器，严格遵守放置规程，加强术后观察，可减少宫内节育器嵌顿的发生。
目的：探索宮內節育器嵌頓的危險因素，為減少宮內節育器嵌頓的髮生提供依據。方法：選取2009年3月至2014年5月我院收治的宮內節育器嵌頓患者80例作為病例組，同期門診80名未髮生宮內節育器嵌頓者為對照組，分析宮內節育器嵌頓的相關因素。結果：單因素分析，病例組的痛經髮生率（57.5％）高于對照組（38.7％），差異有統計學意義（χ2＝5.633，P ＜0.05）；病例組與對照組上環時間差異有統計學意義（χ2＝10.569，P ＜0.01）；病例組中婦科炎癥髮生率（52.5％）高于對照組（26.3％），差異有統計學意義（χ2＝12.545，P ＜0.01）；病例組帶環懷孕髮生率為（58.7％）高于對照組（8.8％），差異有統計學意義（χ2＝44.724，P ＜0.01）。經 Logistics 迴歸分析痛經、上環時機、婦科炎癥、帶環時間和帶環懷孕是宮內節育器嵌頓的獨立危險因素。結論：在放置宮內節育器前綜閤攷慮婦女的綜閤狀態，選擇適宜的宮內節育器，嚴格遵守放置規程，加彊術後觀察，可減少宮內節育器嵌頓的髮生。
목적：탐색궁내절육기감돈적위험인소，위감소궁내절육기감돈적발생제공의거。방법：선취2009년3월지2014년5월아원수치적궁내절육기감돈환자80례작위병례조，동기문진80명미발생궁내절육기감돈자위대조조，분석궁내절육기감돈적상관인소。결과：단인소분석，병례조적통경발생솔（57.5％）고우대조조（38.7％），차이유통계학의의（χ2＝5.633，P ＜0.05）；병례조여대조조상배시간차이유통계학의의（χ2＝10.569，P ＜0.01）；병례조중부과염증발생솔（52.5％）고우대조조（26.3％），차이유통계학의의（χ2＝12.545，P ＜0.01）；병례조대배부잉발생솔위（58.7％）고우대조조（8.8％），차이유통계학의의（χ2＝44.724，P ＜0.01）。경 Logistics 회귀분석통경、상배시궤、부과염증、대배시간화대배부잉시궁내절육기감돈적독립위험인소。결론：재방치궁내절육기전종합고필부녀적종합상태，선택괄의적궁내절육기，엄격준수방치규정，가강술후관찰，가감소궁내절육기감돈적발생。
Objectives:To provide scientific basis for preventing incarceration of intrauterine device (IUD) by probing into major causing factors of IUD incarceration.Methods:80 patients that were diagnosed with IUD in-carceration were selected as study group and 80 patients without IUD incarceration as control group,all of who were patients in our hospital from March 2009 to May 201 4.Results:With single factor analysis,the rate of dysmenor-rhea in the study group (57.5%)was higher than that in control group (38.7%),with statistically significant difference (χ2 =5.633,P <0.05).Difference in the time for IUD incarceration between the study group and the control group was statistically significant (χ2 =1 0.569,P <0.01 );the rate of gynaecology inflammation in study group (52.5%)was higher than that in control group (26.3%),with statistically significant difference (χ2 =1 2.545,P <0.01 ).The rate of pregnancy with IUD in study group (58.7%)was higher than that in control group (8.8%),with statistically significant difference (χ2 =44.724,P <0.01 ).Non -conditioned logistic regression a-nalysis showed dysmenorrhea,the time of IUD insertion,gynaecology inflammation,duration of IUD and pregnancy rate with IUD were all independent risk factors for IUD incarceration.Conclusion:The measures to reduce IUD in-carceration include:consider the female’s overall status before IUD insertion;select appropriate IUD;observe op-erational regulations and strengthen observation after IUD insertion.
