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目的:研究吉妮环应用于育龄妇女避孕节育的效果及影响因素。方法:选取2012年6月~2015年2月在我中心接受吉妮环宫内节育器放置术的育龄妇女800例及接受爱母环放置者500例,随访观察两组妇女术后情况,记录不良反应发生率,并统计分析影响育龄妇女避孕节育效果的相关因素。结果:吉妮环组1年内共脱落、带器妊娠、疼痛出血、因症取出率均低于爱母环组,避孕节育成功率为88.88%显著高于爱母环组70.40%(P<0.05)。影响吉妮环避孕效果的因素有末次妊娠结局、子宫位置及不良反应,其中剖宫产或流产、出现月经紊乱及子宫前位者避孕效果较差。结论:吉妮环应用于育龄妇女避孕节育效果好,续用率高。剖宫产或/和流产、子宫前位及置环后出现月经紊乱、腰腹胀痛、不规则出血是影响吉妮环避孕效果的相关因素。
Objective: To study the effect and influential factors of Jeanne ring on contraception in women of childbearing age. Methods: From June 2012 to February 2015, 800 women of childbearing age and 500 women of childbearing age undergoing Gynecological IUD insertion were enrolled in our center from June 2012 to February 2015. The postoperative follow-up of the two groups of women was recorded and recorded Incidence of adverse reactions, and statistical analysis of women of childbearing age contraceptive effect of related factors. Results: The gefitinib group had a total of 88.48% of pregnancies and birth defects (P <0.05), and the success rate of contraception was 88.88% ). Affect the Jeanne ring contraceptive effect factors are the outcome of the last pregnancy, uterine location and adverse reactions, including cesarean section or miscarriage, menstrual disorders and pre-uterine contraception less effective. CONCLUSION: The Jeanne ring is effective in contraception and fertility for women of childbearing age with high follow-up rate. Cesarean section and / or miscarriage, menstruation in the anteroposterior position and ring of the uterus, abdominal pain and irregular bleeding are the related factors that influence the contraceptive effect of Jeanne ring.