围绝经期宫内节育器滞留的安全性探讨

The Exploration on the Safety of Intrauterine Device Retention During Perimenopausal Period

目的探讨女性围绝经期宫内节育器滞留的的安全性问题.方法采用调查问卷形式在本区对围绝经期女性进行调查,抽取300例使用宫内节育器的女性作为观察组,300例使用其他避孕方式(即未使用宫内节育器)的女性作为对照组,并对其进行咨询和健康检查,比较两组女性的月经情况、围绝经期腰腹部疼痛情况及妇科炎症的发生情况.结果观察组围绝经期女性月经量少、中、多的发生率和对照组比较,差异无统计学意义(P>0.05);观察组围绝经期腰腹部疼痛无症状、轻症、中症、重症的发生率和对照组比较,差异有统计学意义(P<0.05);观察组围绝经期女性妇科炎症发生率为63.33%,对照组的发生率为59.67%,两组进行比较差异无统计学意义.结论围绝经期的宫内节育器滞留对女性的月经量情况、妇科炎症的发生情况并无明显影响,但与腰腹部疼痛有关联.

Objective To research the safety of intrauterine device retention during perimenopausal period. Methods The form of questionnaire was used to investigate women in perimenopausal period in this district. We selected 300 women using intrauterine device as observing group and 300 using other contraceptive methods. Not using intrauterine device ） as control group. The enrolled subjects were given consultation and health examination and the menstruation state waist and abdomen＇s pain and the occurrence of gynecological inflammation were compared between two groups. Results There was no statistically significant difference in the menstrual blood volume of women in perimenopausal period between two groups （P〉0.05）. There was statistically significant difference in the incidence of pain in waist or abdomen in women in perimenopausal period between two groups （P〈0.05）. The incidence of gynecological inflammation in women in perimenopansal period was 63.33% and 59.67% in the observing group and control group respectively and there was no statistically significant difference between two groups. Conclusion Intrauterine device retention during perimenopausal period has no impact on women＇ menstruation state and gynecological inflammation, but is relevant with waist and abdomen＇s pain.