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目的对比观察两种IUD的避孕效果及副反应。方法选取就诊于我站的以自愿选择为原则,对260例放置吉妮IUD和230例放置活性γ型IUD的妇女,安放后1个月、3个月、6个月、12个月进行随访观察。结果使用12个月时,吉妮IUD组和活性γ型IUD组有效续用率分别为97.31%和97.39%,差异无显著性(P>0.05)。在副作用方面,吉妮IUD组点滴出血率为5.39%,活性γ型IUD组为0.87%,两组比较差异有显著性(P<0.05)。而活性γ型IUD组腰腹疼痛发生率为5.22%,较吉妮组的0.77%,差异有显著性(P<0.05)。结论两种IUD均有理想的避孕效果,但副作用方面各有特点,临床医生应根据实际情况对不同的患者选择不同的节育器。
Objective To compare the contraceptive effects and side effects of two kinds of IUDs. Methods According to the principle of voluntary choice, we selected 260 women who placed Genu IUD and 230 women who had active type IUD, and were followed up for 1 month, 3 months, 6 months and 12 months after placement Observed. Results After 12 months, the effective renewal rates of genu IUD group and active γ type IUD group were 97.31% and 97.39%, respectively, with no significant difference (P> 0.05). In terms of side effects, the rate of spot bleeding in Gen Gi IUD group was 5.39%, and that in active γ type IUD group was 0.87%. There was significant difference between the two groups (P <0.05). The incidence of lumbar pain was 5.22% in active type IUD group and 0.77% in genie group, the difference was significant (P <0.05). Conclusion Both IUDs have ideal contraceptive effects, but side effects have their own characteristics. Clinicians should choose different IUDs for different patients according to the actual situation.