摘要
目的:观察哺乳期妇女放置吉妮致美和活性γ-Ⅱ型(安舒)宫内节育器(IUD)的临床效果。方法:431例哺乳期健康妇女自行决定选择放置吉妮致美IUD或安舒IUD,例妇女选择放置吉妮致美IUD,224例妇女选择放置207活性γ-Ⅱ型IUD,在放置后第3、12个月时各随访1次。结果:放置12个月时,吉妮致美组和安舒组的带器妊娠率6、分别为0.5/百妇女年和4.2/百妇女年,两组差异有统计学意义(P<0.05)。脱落率分别为1.5/百妇女年和2.7/百妇女年,因症取出率为1.0/百妇女年和1.8/百妇女年,两组差异均无统计学意义(P>0.05)。吉妮致美组的续用率为97.1/百妇女年,安舒组为91.5/百妇女年,两者差异有统计学意义(P<0.05)。结论:哺乳期放置吉妮致美或安舒IUD均安全有效,吉妮致美IUD对哺乳期妇女子宫的变化有更好的适应性,更适宜哺乳期妇女使用。
Objective ： To explore clinical effects of Gynifix IN intrauterine devices （IUD） and Active Y - Ⅱ IUD insertion for lactating women. Methods： A total of 431 lactating healthy women independently decided to insert Gynifix IN IUD or active Y - ⅡIUD, 207 women with Gynifix IN IUD and 224 with active Y- Ⅱ IUD. All the subjects were regularly followed - up in the third, sixth and twelfth month after insertion. Results ： Twelve months after the operation, pregnancy rates with device were 0.5/100 woman year in Gynifix IN IUD group and 4.2/100 woman year in active Y- Ⅱ IUD group, showing statistically sig- nificant difference （P 〈 0.05）. Expulsion rates were 1.5/100 woman year in Gynifix IN IUD group and 2.7/100 woman year in active Y- ⅡIUD group. And IUD removal rates due to complications were 1.0/100 woman year and 1.8/100 woman year, with both no statistically significant difference （P 〉0. 05）. Retention rates were 97. 1/100 woman year in Gynifix IN IUD group and 91.5/100 woman year in active Y-Ⅱ IUD group, showing statistically significant difference （P 〈0.05 ）. Conclu- sion：Gynifix IN and ActiveY - Ⅱ IUDs are both safe and effective for lactating women. However, Gynifix IN IUD has better flexibility for lactating uterus, so it is more suitable for lactating women.
出处
《中国计划生育学杂志》
2013年第8期542-545,共4页
Chinese Journal of Family Planning
