宫内节育器嵌顿发生的影响因素分析(1)
【摘要】目的：探索宫内节育器嵌顿的危险因素，为减少宫内节育器嵌顿的发生提供依据。方法：选取2009年3月至2014年5月我院收治的宫内节育器嵌顿患者80例作为病例组，同期门诊80名未发生宫内节育器嵌顿者为对照组，分析宫内节育器嵌顿的相关因素。结果：单因素分析，病例组的痛经发生率(575%)高于对照组(387%)，差异有统计学意义(χ2=5633，P<005)；病例组与对照组上环时间差异有统计学意义(χ2=10569，P<001)；病例组中妇科炎症发生率(525%)高于对照组(263%)，差异有统计学意义(χ2=12545，P<001)；病例组带环怀孕发生率为(587%)高于对照组(88%)，差异有统计学意义(χ2=44724，P<001)。经Logistics 回归分析痛经、上环时机、妇科炎症、带环时间和带环怀孕是宫内节育器嵌顿的独立危险因素。结论：在放置宫内节育器前综合考虑妇女的综合状态，选择适宜的宫内节育器，严格遵守放置规程，加强术后观察，可减少宫内节育器嵌顿的发生。
【关键词】宫内节育器；嵌顿； 影响因素
Analysis on influencing factors ofincarceration of intrauterine deviceYE Xiaohong1， XU Zhihong2. 1.Primary Health Care Department， Jingyang District Maternal and Child Health Care Hospital， Deyang 618000， China； 2. Department of Obstetrics and Gynecology， Deyang People’s Hospital， Deyang 618000， China
【Abstract】Objectives： To provide scientific basis for preventing incarceration of intrauterine device (IUD) by probing into major causing factors of IUD incarceration. Methods： 80 patients that were diagnosed with IUD incarceration were selected as study group and 80 patients without IUD incarceration as control group， all of who were patients in our hospital from March 2009 to May 2014. Results： With single factor analysis， the rate of dysmenorrhea in the study group (57.5%) was higher than that in control group (38.7%)， with statistically significant difference (χ2=5.633，P<005). Difference in the time for IUD incarceration between the study group and the control group was statistically significant (χ 2=10569， P<001)； the rate of gynaecology inflammation in study group (52.5%) was higher than that in control group (26.3%)， with statistically significant difference (χ2=12545， P<001). The rate of pregnancy with IUD in study group (58.7%) was higher than that in control group (8.8%)， with statistically significant difference (χ2=44.724， P<001). Non-conditioned logistic regression analysis showed dysmenorrhea， the time of IUD insertion， gynaecology inflammation， duration of IUD and pregnancy rate with IUD were all independent risk factors for IUD incarceration. Conclusion： The measures to reduce IUD incarceration include： consider the female’s overall status before IUD insertion； select appropriate IUD； observe operational regulations and strengthen observation after IUD insertion.
【Key words】Intrauterine device； Incarcerated； Influencing factor
【中图分类号】R169.41【文献标志码】A
宫内节育器(Intrauterine device，IUD)，是一种由人工安装及摘取，通过机械刺激或缓释避孕药抑制女性受孕，且不影响女性排卵及激素水平的避孕工具。由于其使用安全、经济实惠，是育龄妇女常用的节育方法[1-3]。宫内节育器嵌顿，是指由于多种原因导致节育器部分或完全嵌入子宫肌层甚至浆膜层，导致宫内节育器失败后妊娠、出血、疼痛、脏器及组织损伤和盆腹腔炎症，严重影响患者的身心健康。有关数据显示[4-6]，节育器嵌顿，是节育术最为严重的并发症，其发病率高达21%，且呈逐年增高趋势。本研究探索了宫内节育器嵌顿的危险因素和降低风险的措施，为减少宫内节育器嵌顿发生提供依据。, http://www.100md.com(叶晓虹 徐志红)
【关键词】宫内节育器；嵌顿； 影响因素
Analysis on influencing factors ofincarceration of intrauterine deviceYE Xiaohong1， XU Zhihong2. 1.Primary Health Care Department， Jingyang District Maternal and Child Health Care Hospital， Deyang 618000， China； 2. Department of Obstetrics and Gynecology， Deyang People’s Hospital， Deyang 618000， China
【Abstract】Objectives： To provide scientific basis for preventing incarceration of intrauterine device (IUD) by probing into major causing factors of IUD incarceration. Methods： 80 patients that were diagnosed with IUD incarceration were selected as study group and 80 patients without IUD incarceration as control group， all of who were patients in our hospital from March 2009 to May 2014. Results： With single factor analysis， the rate of dysmenorrhea in the study group (57.5%) was higher than that in control group (38.7%)， with statistically significant difference (χ2=5.633，P<005). Difference in the time for IUD incarceration between the study group and the control group was statistically significant (χ 2=10569， P<001)； the rate of gynaecology inflammation in study group (52.5%) was higher than that in control group (26.3%)， with statistically significant difference (χ2=12545， P<001). The rate of pregnancy with IUD in study group (58.7%) was higher than that in control group (8.8%)， with statistically significant difference (χ2=44.724， P<001). Non-conditioned logistic regression analysis showed dysmenorrhea， the time of IUD insertion， gynaecology inflammation， duration of IUD and pregnancy rate with IUD were all independent risk factors for IUD incarceration. Conclusion： The measures to reduce IUD incarceration include： consider the female’s overall status before IUD insertion； select appropriate IUD； observe operational regulations and strengthen observation after IUD insertion.
【Key words】Intrauterine device； Incarcerated； Influencing factor
【中图分类号】R169.41【文献标志码】A
宫内节育器(Intrauterine device，IUD)，是一种由人工安装及摘取，通过机械刺激或缓释避孕药抑制女性受孕，且不影响女性排卵及激素水平的避孕工具。由于其使用安全、经济实惠，是育龄妇女常用的节育方法[1-3]。宫内节育器嵌顿，是指由于多种原因导致节育器部分或完全嵌入子宫肌层甚至浆膜层，导致宫内节育器失败后妊娠、出血、疼痛、脏器及组织损伤和盆腹腔炎症，严重影响患者的身心健康。有关数据显示[4-6]，节育器嵌顿，是节育术最为严重的并发症，其发病率高达21%，且呈逐年增高趋势。本研究探索了宫内节育器嵌顿的危险因素和降低风险的措施，为减少宫内节育器嵌顿发生提供依据。, http://www.100md.com(叶晓虹 徐志红)