摘要
目的对比依托孕烯皮下埋植与固定式宫内节育器对有人工流产史及避孕需求女性的避孕效果。方法回顾性选取佛山市南海区全科医院2022年11月至2024年6月有人工流产史及避孕需求的女性120名,根据干预措施不同分为观察组和对照组,各60名。观察组采用依托孕烯皮下埋植避孕,对照组采用固定式宫内节育器避孕。对受试者开展随访工作,记录两组不良反应发生情况及1年内妊娠率、避孕成功率。结果观察组白带增多情况(0.00%)低于对照组(25.00%),差异有统计学意义(P<0.05)。两组月经模式改变对比(观察组20.00%vs对照组23.33%),差异无统计学意义(P>0.05)。观察组1年内妊娠率[1.67%(1/60)]低于对照组[11.67%(7/60)],避孕成功率[98.33%(59/60)]高于对照组[88.33%(53/60)],差异有统计学意义(P<0.05)。结论依托孕烯皮下埋植与固定式宫内节育器在人工流产后均有一定避孕效果,其中依托孕烯皮下埋植避孕效果更好,能够有效满足女性避孕需求,不良反应发生率更低。
Objective To compare the contraceptive effect between etonogestrel subcutaneous implantation and fixed intrauterine device in women with induced abortion history and contraceptive needs.Methods A total of 120 women with a history of induced abortion and contraceptive needs in Foshan Nanhai District General Hospital from November 2022 to June 2024 were retrospectively selected and divided into observation group and control group according to different intervention measures,60 cases in each group.The observation group was given etonogestrel subcutaneous implantation contraception,and the control group was given fixed intrauterine device contraception.The subjects were followed up.The incidence of adverse reactions,pregnancy rate within one year and contraceptive success rate in the two groups were recorded.Results The incidence of increase of leucorrhea in the observation group(0.00%)was lower than that in the control group(25.00%),with statistical significance(P<0.05).There was no statistically significant difference in menstrual pattern between the two groups(observation group 20.00%vs control group 23.33%)(P>0.05).The pregnancy rate within one year in the observation group(1.67%,1/60)was lower than that in the control group(11.67%,7/60),and the contraceptive success rate(98.33%,59/60)was higher than that in the control group(88.33%,53/60),with statistical significance(P<0.05).Conclusion Both the etonogestrel subcutaneous implantation and fixed intrauterine device provide contraceptive effectiveness after induced abortion.Among these,the etopregnene subcutaneous implantation offers superior contraceptive efficacy,effectively meeting women’s contraceptive needs while exhibiting a lower incidence of adver se reactions.
作者
林国凤
LIN Guofeng(Department of Gynecology,Foshan Nanhai District General Hospital(Foshan Nanhai Guicheng Hospital),Guangdong Province,Foshan 528000,China)
出处
《妇儿健康导刊》
2026年第6期36-39,共4页
Journal of Women and Children's Health Guide
关键词
依托孕烯皮下埋植
固定式宫内节育器
人工流产后
不良反应
Etonogestrel subcutaneous implantation
Fixed intrauterine device
After induced abortion
Adverse reaction
