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目的比较人工流产术后即时放置吉妮致美与TCu220cIUD的临床效果和不良反应。方法将256例流产后立即放置吉妮致美与TCu220cIUD随机分为两组,观察组(吉妮致美)130例,对照组(TCu220cIUD)126例,门诊随访1年,观察两组的临床效果和不良反应。结果观察组脱环率为0.0%,较对照组4.0%低;观察组因症取出率为3.8%,较对照组10.3%低,而续用率为94.6%,较对照组84.1%高,两组比较差异有统计学意义(P<0.05)。带器妊娠率分别为1.5%、1.6%,两组比较差异无统计学意义(P>0.05)。不良反应的观察中,观察组月经异常发生率为4.6%,明显低于对照组11.9%,腹痛发生率为6.2%,较对照组13.5%低,两组比较差异有统计学意义(P<0.05)。白带增多率分别为11.5%、19.0%,两组比较差异无统计学意义(P>0.05)。结论人工流产术后即时放置吉妮致美宫内节育器避孕效果确切,因症取出率低、续用率高,对月经的稳定性干扰小,脱落率低、腹痛等不良反应小,值得临床进一步推广应用。
Objective To compare the clinical effects and adverse reactions of Jini to the United States and TCu220cIUD immediately after the induced abortion. Methods Two hundred and sixty-two cases of genital wastage and TCu220cIUD were randomly divided into two groups: 130 cases in the observation group (TCT) and 126 cases in the control group (TCu220cIUD), followed up for one year in the outpatient department. The clinical effects and adverse effects reaction. Results The observation group had a rate of 0.0%, which was lower than that of the control group (4.0%). In the observation group, the rate of removing the disease was 3.8%, lower than that of the control group (10.3%), and the follow-up rate was 94.6% The difference was statistically significant (P <0.05). Pregnancy rates were 1.5% and 1.6% respectively, with no significant difference between the two groups (P> 0.05). In the observation of adverse reactions, the incidence of abnormal menstruation in the observation group was 4.6%, significantly lower than that in the control group (11.9%) and the incidence of abdominal pain was 6.2%, which was lower than that in the control group (13.5%), with significant difference between the two groups (P <0.05 ). The increase rate of leucorrhea was 11.5% and 19.0% respectively, with no significant difference between the two groups (P> 0.05). CONCLUSION: Immediately after the induced abortion, Ginny’s IUD has the best contraceptive effect, low withdrawal rate, high follow-up rate, small disturbance to the stability of menstruation, low exfoliation rate and small adverse reactions such as abdominal pain, which is worth further clinical study Promote the application.