摘要
目的观察MYCu宫内节育器（intrauterine contraceptive device，IUD）与MCu Ⅱ功能性IUD的临床效果与安全性。方法自2010年5～10月，于宁城县计划生育服务站门诊放置MYCuIUD、MCuIIIUD各150例，术后第1、3、6、12、24个月随访。结果放置满24个月，MYCuIUD组与MCuIIIUD组比较，累积带器妊娠率分别为0．69／百妇女年、0／百妇女年，累积脱落率分别为0／百妇女年、1．36／百妇女年，因疼痛／出血取出率分别为1．36／百妇女年、2．69／百妇女年，两组比较差异均无统计学意义（P〉0．05）；放置后1个月时有主诉发生分别为22．67％、32．00％，差异无统计学意义（P〉0．05），月经异常发生率分别为12．00％、21．33％，差异有统计学意义（P〈0．05）。结论两组IUD同样具有抗生育效果好、脱落率低、不良反应发生率低的特点，尤其是MYCuIUD因含吲哚美辛可减少IUD放置初期的出血和疼痛，值得推广使用，可根据具体情况酌情选择。
Objective To observe the clinical effect and safety of MYCu intrauterine contraceptive device （MYCu IUD） and MCu II functional intrauterine contraceptive device （MCu 1I IUD）. Methods From May to October 2010 -y, 150 cases were inserted MYCu IUD and the other 150 cases were inserted MCu I[ IUD in the out - patient department of Ningcheng Family Planning Service Station in Chifeng City and followed up 1,3,6, l 2, and 24 months after the insertion. Results In comparison of MYCu IUD Group and MCu II IUD Group full 24 months after insertion, the cumulative rates of pregnancy with IUD in situation were 0. 69/100 women per year and 0/100 women per year respectively; the cumulative expulsion rates were 0/100 women per year and 1.36/100 women per year respectively ;The rates of removal due to pain/bleeding were 1.36/100 women per year and 2.69/100 women per year respectively; all the above difference had no statistical significance （ P 〉 0.05 ）. The occurrence rates of chief complaint 1 month after insertion were 22. 67% and 32.00% respectively of two groups and the difference had no statistical significance （ P 〉 0.05 ） ; The occurrence rates of abnormal menstruation were 12. 00% and 21.33% respectively and the difference had statistical significance （ P 〈 0. 05 ）. Conclusion Both IUD groups have same characteristics such as good contraceptive effect,low expulsion rate, and low occurrence rate of side effects, especially indomethacin- containing MYCu IUD which can reduce bleeding and pain during early insertion, deserve promotion for application. Choose according to specific circumstances during application.
出处
《中国计划生育和妇产科》
2013年第2期69-72,共4页
Chinese Journal of Family Planning & Gynecotokology
