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目的观察MYCu宫内节育器(intrauterine contraceptive device,IUD)与MCuⅡ功能性IUD的临床效果与安全性。方法自2010年5~10月,于宁城县计划生育服务站门诊放置MYCu IUD、MCuⅡIUD各150例,术后第1、3、6、12、24个月随访。结果放置满24个月,MYCu IUD组与MCuⅡIUD组比较,累积带器妊娠率分别为0.69/百妇女年、0/百妇女年,累积脱落率分别为0/百妇女年、1.36/百妇女年,因疼痛/出血取出率分别为1.36/百妇女年、2.69/百妇女年,两组比较差异均无统计学意义(P>0.05);放置后1个月时有主诉发生分别为22.67%、32.00%,差异无统计学意义(P>0.05),月经异常发生率分别为12.00%、21.33%,差异有统计学意义(P<0.05)。结论两组IUD同样具有抗生育效果好、脱落率低、不良反应发生率低的特点,尤其是MYCu IUD因含吲哚美辛可减少IUD放置初期的出血和疼痛,值得推广使用,可根据具体情况酌情选择。
Objective To observe the clinical effect and safety of MYCu intrauterine contraceptive device (IUD) and MCuⅡ functional IUD. Methods From May to October 2010, 150 cases of MYCu IUD and MCuⅡUD were placed in the outpatient service of family planning service station in Ningcheng County. The patients were followed up at 1, 3, 6, 12 and 24 months after operation. The results were placed for 24 months, MYCu IUD group and MCuIIIUD group, the accumulator with pregnancy rates were 0.69 / Hundred Hundred Years, 0 / Hundred Years Hundred Years, the cumulative shedding rate were 0 / Hundred Hundred Years Women, 1.36 / Hundred Years Women (1.36 per 100 woman women and 2.69 per hundred women per year, respectively), there was no significant difference between the two groups (P> 0.05). The incidence of complaints at one month after placement was 22.67% 32.00% respectively. There was no significant difference between the two groups (P> 0.05). The incidence of abnormal menstruation was 12.00% and 21.33% respectively. The difference was statistically significant (P <0.05). Conclusion Both IUDs also have good anti-fertility effects, low exfoliation rate and low incidence of adverse reactions. In particular, MYCu IUD contains indomethacin to reduce bleeding and pain in the initial stage of IUD placement and is worth popularizing. The situation is appropriate to choose.