论文部分内容阅读
目的探讨产后立即放置ＧｙｎｅＦｉｘＴＭＰＰ型宫内节育器（ＧｙｎｅＦｉｘＴＭＰＰ－ＩＵＤ）对产后出血、血性恶露及产后子宫内膜炎的影响。方法以产后放置ＧｙｎｅＦｉｘＴＭＰＰ－ＩＵＤ者为放器组（１２６例），产后未放置宫内节育器（ＩＵＤ）者为对照组（１１８例），分别记录两组研究对象产时、产后２小时、产后２４小时的出血量、血性恶露持续时间及产后子宫内膜炎的发生率。结果与产后出血及产褥期感染有关的因素两组间差异均无显著性（Ｐ＞０．０５）；两组间的产时或术时出血量、产后２小时出血量及２４小时的出血总量、子宫内膜炎的发生率，差异亦无显著性（Ｐ＞０．０５），两组间的血性恶露持续时间差异有显著性（Ｐ＜０．０５）。结论ＧｙｎｅＦｉｘＴＭＰＰ－ＩＵＤ对产后出血及产褥期感染无明显影响，具有较好的安全性，是产后立即避孕的一种较好方法，对血性恶露持续时间的影响及产生原因有待进一步研究。
Objective To investigate the effect of GyneFixTMPP intrauterine device (GyneFixTMPP-IUD) on postpartum hemorrhage, bloody locust and postpartum endometritis. Methods One hundred and sixty-eight GyneFixTMPP-IUD recipients were enrolled in this study. One hundred and eighty-six patients with post-operative GyneFixTMPP-IUD were enrolled in this study. One hundred and eighty-eight patients with intrauterine device (IUD) 24-hour bleeding, bloody lochia duration and the incidence of postpartum endometritis. Results There were no significant differences between the two groups in the factors related to postpartum hemorrhage and puerperal infection (P> 0.05). The intrapartum or postoperative hemorrhage, postpartum hemorrhage at 2 hours and total hemorrhage at 24 hours , The incidence of endometritis, the difference was not significant (P> 0.05), the duration of bloody lochia between the two groups was significantly different (P <0.05). Conclusions GyneFixTMPP-IUD has no significant effect on postpartum hemorrhage and puerperal infection. It has good safety and is a good method of contraception immediately after delivery. The effect of GyneFixTMPP-IUD on the duration of bloody lochia remains to be further studied.