摘要
目的了解珠海市金湾区已婚育龄妇女放置宫内节育器的临床效果；了解育龄妇女在术前获得的咨询服务和术后随访服务情况及其对宫内节育器临床效果的影响。方法以金湾区三灶镇、红旗镇、平沙镇为调查单位，对2002—2004年在计生服务机构置入宫内节育器的1200名育龄妇女进行面对面问卷调查。结果放置宫内节育器后5年内妊娠率为5.83％，因症取出率为16.17％，续用率为64.84％；术前有38.69％的妇女获得过较好咨询服务，41.17％的妇女未获得过咨询服务，术后有37.99％的妇女获得过规范的随访服务；获得过较好咨询服务的妇女因症取出率和意外妊娠率较低，分别为13.24％、4.11％．未获得咨询服务的妇女分别是19，31％、7，73％（p〈0．05）；术后定期随访和／或季度查环的妇女妊娠率较低，为3，71％。结论官内节育器续用率高、安全、有效，可推广使用；咨询、随访服务可降低因症取出率和意外妊娠率，提高续用率；应强化普及和规范咨询、随访服务。
ObjectiveLearn Zhuhai Golden Gulf married about women of childbearing age received preoperative women of childbearing age the clinical effects of IUD insertion; and postoperative follow-up services, consulting services and its effect on the clinical effect of intrauterine devices. Methods the investigation unit of the 2002-2004 IUD insertion in the Bay Area Sanzao gold town, Hongqi Town, flat shazhen for Family Planning Organization of 1,200 women of childbearing age face to face survey.Results 5years after IUD insertion pregnancy rate of 5.83%, due to disease out rate of 16.17%, continuation rate of 64.84%; surgery before 38.69% of the women had better access to advisory services, 41.17 percent of the women had not been consulting services, after a 37.99% of the women had standard follow-up services; won the women＇s advisory services better removed due to disease and unwanted pregnancy rates low, respectively, 13.24%, 4.11%, no access to counseling services for women were 19.31%, 7.73% （p ＆lt;0.05）; after regular follow-up and / or quarterly check the lower ring of women in pregnancy, to 3. 71%. Conclusion Continued high rates of IUD use, safe, effective, promote the use off advice, follow-up services can reduce the rate of removal due to disease and accidental pregnancy, improve continuation rates; should strengthen the universal and normative advice, follow-up services.
