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目的观察剖宫产术后妇女使用欣悦固定式宫内节育器(intrauterine contraceptive device,IUD)的临床效果。方法选择2010年5月在门诊自愿放置欣悦固定式IUD育龄妇女477例,按照不同分娩方式分为观察组(剖宫产术后组)215例和对照组(阴道分娩组)262例。放置后分别于1、3、6、12、24个月进行随访。结果观察组放置IUD困难因素的发生率明显高于对照组,差异有统计学意义(P<0.05);但两组放置IUD后的不良反应发生情况和终止情况比较差异无统计学意义(P>0.05)。结论剖宫产术后妇女使用固定式IUD可减少放置困难,减轻受术者痛苦。
Objective To observe the clinical effect of using intrauterine contraceptive device (IUD) in women after cesarean section. Methods A total of 477 women of childbearing age with IUD were randomly assigned to outpatient clinic in May 2010. According to different modes of delivery, 215 women in observation group (group after cesarean section) and 262 women in control group (vaginal delivery group) were selected. After placement were followed up in 1,3,6,12,24 months. Results The incidence of intractable IUD in observation group was significantly higher than that in control group (P <0.05), but there was no significant difference between the two groups in the occurrence and termination of adverse reactions (P> 0.05). Conclusion The use of fixed IUD in women after cesarean section can reduce the difficulty of placement and relieve the suffering of the surgeon.