不同分娩方式妇女放置三种IUD的术时评价.docVIP

不同分娩方式妇女放置三种IUD的术时评价 杜天竹 李明 罗新 摘要 目的：研究不同分娩方式妇女放置三种新型含铜宫内节育器（CuIUD）的术时评价。方法：将观察对象按经阴道和经剖宫产的不同分娩方式分为两组，每组均随时放置GyneFix IN IUD，MCu功能性IUD和TCu380A IUD，记录两组放置不同种IUD的扩宫情况，置器时间无显著差异（P0.05）。放置MCu功能性IUD在剖宫产分娩组扩宫率为92.5%，显著高于阴道分娩组的33.3%（P0.05）；痛觉评分为8.62±0.82分，显著高于阴道分娩组（P0.01）；置器时间为（9.62±3.15）min，较另两种IUD置器时间显著延长（P0.05）。结论：CyneFix IN IUD和TCu380A IUD置器术时扩宫率低，费时少，疼痛反应轻，不受分娩方式影响。 关键词 宫内节育器 铜 分娩 Evaluation of InsertLNG Porcess of Three Kinds of Cu IUD among Women with Different Delivery Way. Du tianzhu，Li M，Lua Xin. Reproductive Center of People Hospital of Wuhan University，Wuhan，430060. Abstract Objectives:to evaluate the inset process of three kinds of Cu IUD among women with different delivery way.Methods:Dividing patients into two groups according to delivery way.GyneFix IN IUD、MCu、IUD、TCu380A IUD were ran-domly inserted in each grop. The rate cervix dilatation，pain reaction and inser time were recorded.Results:The cervix dilation rale of inscrting Mcu IUD in cesarean seetion delivery way group is 92.5%，significantly higher than that in sponta-neous delivery group with the rate of 33.3%（P0.05）.The difference of pain scorc and the rate of eervix dilatation among women who use yneFix IN IUD and TCu380A IUD in different delivery way group are not significant（P0.05），The aver-age pain score us Mcu IUD in ccsarean seetion delivery way group is 8.62±0.82，significantly higher than that in sponla-neous delivery group（P0.01）.the average insert time is（9.62±3.15）minutce in Mcu IUD group.The difference of insert time is also significantly when comparing to the other two kinds of IUD groups（P0.05）.Conclusion:Whatever delivery way，beeause of lower rate of cevix dilatation，less pain and shorter duration，insertyneFix IN IUD and TCu380A IUD are easily accepted by doctors and patients. Key words Intrauterine device Copper Delivery. 宫内节育器（IUD）为产后妇女首选的长效避孕方法，除关注IUD的避孕效果和副反应外，选择一种易于放置和术时痛苦小的IUD同样是广大妇女和计划生育工作者的共同要求。随着剖宫产率的逐年上升，产后妇女置器也有新的特点。选用两种避孕效果好的新型宫内节育器GyneFix IN IUD、MCu功能性IUD与传统TCu380A