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目的观察吉妮IUD、元宫IUD和Tcu380AIUD的临床效果。方法对分别放置吉妮IUD、元宫IUD和Tcu380AIUD的育龄妇女各202例,进行24个月观察和随访。结果妊娠率三组间比较差异无统计学意义(P>0.05);脱环率和因症取出率在放置18、24个月吉妮组和元宫组均比Tcu380A组减少(P<0.05);续用率在放置18、24个月吉妮组、元宫组均比Tcu380A组增多(P<0.05);吉妮组与元宫组3、6个月的月经量增多、经期延长、不规则出血、腰腹胀痛、白带增多等不良反应均比Tcu380A组减少(P<0.05)。结论吉妮IUD和元宫300IUD避孕效果好,脱环率较低,续用率高,不良反应少,安全,是妇女避孕较为理想的宫内节育器,值得基层计生服务中心推广应用。
Objective To observe the clinical effects of Genie IUD, Yuan IUD and Tcu380AIUD. Methods A total of 202 women of childbearing age who were placed Genie IUD, Uiginal IUD and Tcu380AIUD respectively were observed and followed up for 24 months. Results There was no significant difference in pregnancy rate between the three groups (P> 0.05). The rates of withdrawal and morbidity were lower in the Jini group and Yuan Gong group than those in the Tcu380A group (P <0.05) ; Reuse rate in the 18,24 months of Ji Ni group, the Yuan palace group were increased compared with Tcu380A group (P <0.05); the Jini group and Yuan Gong group 3,6 months menstrual volume increased, menstrual prolongation, not Routine bleeding, abdominal pain, increased vaginal discharge and other adverse reactions than Tcu380A group decreased (P <0.05). Conclusions Ji Ni IUD and Yuan Gong 300IUD contraceptive effect is good, the lower the ring rate, high rate of continued use, less adverse reactions, safety, contraception is an ideal woman for IUD, it is worth to promote the use of primary care service center.