国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (1): 29-31.

• 论著 • 上一篇    下一篇

1 056例皮下埋植避孕剂取出原因分析

于玲，胥玉梅，张艳萍，杨燕，宋燕，吴喜梅，宋霞，于建春   

  1. 250002 济南，山东省计划生育科学技术研究所 国家卫计委生育调控技术重点实验室 山东省优生技术重点实验室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-01-15 发布日期:2016-01-15

Analysis of the Reasons of Norplant Removal in 1 056 Cases

YU Ling，XU Yu-mei，ZHANG Yan-ping，YANG Yan，SONG Yan，WU Xi-mei，SONG Xia，YU Jian-chun   

  1. State Key Laboratory of Reproductive Regulation Technology，Shandong Provincial Key Laboratory of Eugenic Technology，Shandong Planned Parenthood Institute of Science and Technology，Jinan 250002，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-01-15 Online:2016-01-15

PDF (PC)

8094

摘要： 目的：探讨皮下埋植避孕剂取出原因与取出年龄和放置时间的关系。方法：对1994年1月—2014年12月在本所门诊取出皮下埋植避孕剂的1 056例育龄妇女进行取出原因分析，比较不同取出年龄段及不同放置时间的因症取出原因的构成比。结果：1 056例皮下埋植避孕剂取出人群中，539例期满取出，395例因月经异常取出，97例因除月经外其他不适取出，23例因计划妊娠或改用其他避孕方法取出，2例在有效期内避孕失败取出。皮下埋植避孕剂取出原因构成比在不同取出年龄组中差异有统计学意义（P＜0.05），在不同放置时间组中差异无统计学意义（P＞0.05）；其中不同取出年龄和放置时间组中，月经异常和头痛、痤疮等其他症状的构成比差异均有统计学意义（P＜0.05），计划妊娠或改用其他避孕方法的构成比差异无统计学意义（P＞0.05）。结论：皮下埋植避孕剂是持久、高效、简便的避孕方法，月经异常和头痛、痤疮等症状是不同年龄段和放置时间皮下埋植避孕剂取出的主要原因。

关键词: 宫内避孕器, 避孕, 左炔诺孕酮, 月经失调

Abstract: Objective：To explore the relationship between the Norplant removal and the placed age and time. Methods：The reasons for the Norplant removal, and the constituent ratios of the reasons to removed-age and to placed-time, were analyzed in 1 056 cases in our Institution from January 1994 to December 2014. Results： In those 1 056 cases of Norplant removal, 539 cases were due to expiration, 395 cases were due to abnormal uterine bleeding, 97 cases were due to other discomfort beside menstruation, 23 cases were due to planned pregnancy or switch to other contraception, and 2 cases were due to contraceptive failure. The constituent ratio of the removed reasons showed significant difference in the different removed-age groups （P＜0.05）, but did not show significant difference in the placed-time groups （P＞0.05）. The constituent ratios of abnormal uterine bleeding，headache，acne and other symptoms, showed statistical difference in the removal age and implant time groups （P＜0.05）, while those ratios did not show significant difference in the planned pregnancy or switch to other contraception groups （P＜0.05）. Conclusions： Norplant is a long-acting, simple and efficient contraceptive method. The abnormal uterine bleeding, headache, acne and other symptoms are the main reasons of Norplant removal in different age and implant time groups.

Key words: Intrauterine devices, Contraception, Levonorgestrel, Menstruation disturbances