人工流产术后即时放置吉尼致美宫内节育器的临床观察.docVIP

人工流产术后即时放置吉尼致美宫内节育器的临床观察 　　doi：10.3969/j.issn.1007-614x.2014.12.29 　　摘 要 目的：探究人工流产术后即时放置吉尼致美宫内节育器的避孕效果和不良反应。方法：收治人流手术后放置吉尼致美宫内节育器妇女240名，作为研究对象，将其随机均分为观察组和对照组。其中观察组为人流手术后即时放置吉尼致美宫内节育器的妇女，对照组为同期经期间放置吉尼致美宫内节育器的妇女，分析两组妇女在放置后的不良反应与避孕效果。结果：人流手术后放置吉尼致美宫内节育器1个月，观察组和对照组的不良反应比较差异有统计意义，术后3个月和6个月的不良反应比较差异无统计意义，放置1年内避孕效果和节育器脱落两组比较比较差异无统计意义。结论：吉尼致美宫内节育器在人流手术后即时放置和经期间放置的避孕效果一样，放置3个月后没有不良反应出现，因此应在人流手术后即时放置。 　　关键词 人工流产 吉尼致美宫内节育器 避孕 不良反应 　　Clinical observation of placing immediately Gini Zhimei intrauterine device after artificial abortion 　　Zhou Jinfeng 　　Guangzhou Development District Hospital（Guangzhou City，Guangdong），510730 　　Abstract Objective：To explore the contraceptive effect and adverse reactions of placing immediately Gini Zhimei intrauterine device after artificial abortion.Methods：240 woman with placing immediately Gini Zhimei intrauterine device after artificial abortion were selected.They were as the research object and randomly divided into the observation group and the control group.The observation group was woman with placing immediately Gini Zhimei intrauterine device after artificial abortion.The control group was woman with placing Gini Zhimei intrauterine device during the menstruation.The adverse reactions and contraceptive effects of women in the two groups after placing were analyzed.Results：In 1 month of placing Gini Zhimei intrauterine device after artificial abortion，the adverse reactions of the observation group and the control group had significant differences.The adverse reactions had no significant in 3 months and 6 months after operation.The contraceptive effects and IUD expulsion rates of the two groups had no significant difference after placing 1 year.Conclusion：The contraceptive effects of placing Gini Zhimei intrauterine device after artificial abortion and during menstruation are the same.There was no adverse reactions after placing 3 months，therefore，we should be placed immediately after artificial abortion. 　　Key words Artificial ab