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目的观察哺乳期妇女放置爱母MYCuIUD安全性的优势。方法将380例于顺产后42 d至产后6个月或剖宫产后6个月(均月经未复潮)放置IUD的健康哺乳期妇女随机分成放置爱母MYCuIUD 180例(MYCu组)和放置TCu380A200例(TCu380A)组,于放器后1、3、6和12个月随访,以生命表法统计2种IUD的相关情况。结果 MYCu组12个月的带器妊娠率、疼痛发生率均为0、因症取出率为0.57%、脱落率为0.57%,TCu380A组12个月带器妊娠率1.05%、疼痛发生率2.11%、因症取出率2.63%、脱落率为1.59%,两组相比较,MYCu组均明显低于TCu380A组,差异均有显著性意义(P<0.01),MYCu组不规则阴道出血率为1.14%,TCu380A组为2.63%,差异有统计学意义(P<0.05),MYCu组续用率为97.5%,TCu380A组为87.6%。结论 MYCuIUD具有记忆效应,v型支架可随子宫的缩舒而收张,在子宫的高部位释放铜离子,充分发挥铜的避孕效应,可释放吲哚美辛达宫腔各个部位,减少了IUD与子宫腔不适宜而发生的IUD下移脱落、出血及疼痛等不良反应的发生,MYCu不带尾丝,避免了逆行感染的可能性,且大大减少了断乳后因子宫恢复而需再度换环的麻烦,用于哺乳期妇女是安全的。
Objective To observe the safety of breastfeeding women MYCuIUD. Methods One hundred and eighty healthy healthy lactating women with IUD placed 42 days after cesarean section to 6 months after cesarean section or 6 months after cesarean section were divided randomly into 180 cases (MYCu group) with MYCuIUD The TCu380A200 cases (TCu380A) group were followed up 1, 3, 6 and 12 months after the device was released. Results The pregnancy rate and pain rate were all 0 in the MYCu group at 12 months. The removal rate was 0.57% in the MYCu group and 0.57% in the TCU380A group. The pregnancy rate in 12 months was 1.05% and the pain rate was 2.11% (2.63%) and the exfoliation rate (1.59%). The MYCu group was significantly lower than the TCu380A group (P <0.01), and the rate of irregular vaginal bleeding in the MYCu group was 1.14% , TCu380A group was 2.63%, the difference was statistically significant (P <0.05), MYCu group continued use rate was 97.5%, TCu380A group was 87.6%. Conclusion MYCuIUD has a memory effect, v-stent can be closed with the contraction of the uterus and release of copper ions in the high part of the uterus, give full play to the copper contraceptive effect, can release indomethacin all parts of the uterine cavity, reducing the IUD Uterine cavity and inappropriate occurrence of IUD down off, bleeding and pain and other adverse reactions, MYCu without tail wire, to avoid the possibility of retrograde infection, and greatly reduces the recovery of the uterus after weaning because of the need to change the ring again The trouble with breastfeeding women is safe.