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关于采用宫内节育器避孕的调查
作者:王玉楣  车映  李晓翠 
单位:同济大学附属第一妇婴保健院 计划生育科, 上海 200040
关键词:宫内节育器 避孕 子宫内膜息肉 
分类号:R169.41
出版年·卷·期(页码):2018·46·第四期(382-385)
摘要:

目的:分析人工终止妊娠后同时采用宫内节育器(IUD)避孕的现况及IUD与内膜息肉发生是否相关,探讨如何更好地推广IUD等长效避孕方式。方法:回顾性收集2014年至2016年来我院人工终止妊娠的25 244例早孕妇女的临床资料,调查人工终止妊娠同时使用IUD避孕的情况;采用问卷调查的方法,调查针对性地宣教长效避孕知识后,避孕咨询门诊就诊者对IUD选择意愿有无变化;收集2016年3月至2017年10月计划生育科宫腔镜下宫腔赘生物摘除术后病理证实为内膜息肉的所有243例患者的临床资料,分析IUD与内膜息肉发生的相关性。结果:人工终止妊娠同时采用IUD避孕的比例逐年下降,地域差异没有统计学意义(P>0.05);不同宣教后对IUD的接受程度比较差异有统计学意义(P<0.05);无IUD者内膜息肉发生率明显高于有IUD者(P<0.05)。结论:IUD是长效、安全的避孕措施,是否做好避孕知识宣教、消除患者顾虑是影响选择意愿的重要因素,提高人工终止妊娠同时放置IUD使用率可以更有效地落实长效避孕。

Objective: To analyze the status of contraceptives using IUD(intrauterine device) after the induced abortion in recent years in our hospital and the correlation between IUD and endometrial polyps, and to explore how to better popularize long-term contraceptive methods such as IUD. Methods: Data of 25,244 patients with induced abortion by using intrauterine device in our hospital from 2014 to 2016 were retrospectively collected and analyzed. A questionnaire was conducted to investigate the willingness of using IUD for contraception after propaganda and education of long-term effective contraceptive use. Clinical data of 243 patients undergoing hysteroscopic intrauterine neoplasm resection, which proved to be endometrial polyps by pathology, from March 2016 to October 2017 in family planning department were collected to analyze the correlation between IUD and endometrial polyps. Results: The proportion of artificial termination of pregnancy with intrauterine device during the operation decreased year by year,and the regional difference was not significant(P>0.05). The willingness of accepting IUD was in parallel with the knowledge of long-term effective contraceptive use with statistically significant difference(P<0.05). The incidence of endometrial polyps was higher in patients without IUD than those with IUD(P<0.05). Conclusion: Intrauterine device is a long-term and safe contraception approach. Instruction and education of the contraceptive knowledge and elimination of patients' worries are important factors that influence their willingness to choose. Increasing the proportion of artificial termination of pregnancy and placing intrauterine device simultaneously can effectively implement long-term contraception.

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