宫内节育器不良事件313例报告分析

Evaluation of 313 Adverse Events Reports on Intrauterine Device

目的:了解我国少数民族地区(贵州省黔南布依族苗族自治州)宫内节育器(IUD)不良事件发生情况。方法:收集贵州省黔南州上报的313例可疑IUD不良事件报告,进行不良事件关联性评价和数据分析,探索其相关影响因素,为预防IUD不良事件的发生提供依据。结果:313例报告均为元宫型IUD,不良事件多为IUD移位,临床表现以腹痛(130例)、宫内妊娠(58例)、阴道流血(43例)为主;262例取出IUD后临床症状有所好转,部分口服抗菌、通经活血药物后症状好转或消失。结论:IUD不良事件以其移位最为常见,主要导致病人腹痛;加强术后健康知识宣传及定期妇检,及时处理可避免严重IUD不良事件的发生。

Objective To explore the prevalence of intrauterine device (IUD)adverse events in minority area of China (Guizhou Province Qiannan bouyei and Miao autonomous prefecture).Methods A total of 313 suspected adverse event reports on IUD were col-lected in Qiannan,a relevance evaluation and data Analysis was conducted to explore the related influencing factors,in order to provide the basis for prevent the occurrence of IUD adverse events in the future.Results 313 of IUD adverse event reports were Yuangong, most adverse events because of IUD translocation,clinical feature abdominal pain (130 cases)、uterine pregnancy (58 cases)、vagi-nal bleeding (43 cases)as the principal;Clinical features were improve after take IUD out in 262 cases,improve or transference cure after take orally antibiosis and Through the blood drugs in part cases.Conclusion IUD with its shift are the most common adverse e-vents,the main result in the patient's abdominal pain;Strengthen postoperative health knowledge propaganda and gynecologic examina-tion regularly,timely treatment can avoid the occurrence of serious IUD adverse events.