围绝经期妇女宫内节育器滞留情况及其安全性分析

目的：统计围绝经期妇女宫内节育器的滞留情况，并对其安全性进行探究分析。方法：2012年10月至2013年3月期间对本社区围绝经期妇女进行问卷调查，以了解宫内节育器的滞留情况。随机各抽选200例使用宫内节育器和未使用宫内节育器的女性作为研究对象，并对两类妇女的围绝经期腰部疼痛、月经情况及妇科炎症发生情况进行咨询和健康检查。结果：研究组患者无腰部疼痛者28例，占14.0％；对照组无腰部疼痛者61例，占30.5％，两组间的差异显著（P＜0.05）。研究组和对照组围绝经期妇女的月经量和妇科炎症发生率无明显差异，P＞0.05，不具有统计学意义。结论：围绝经期妇女宫内节育器的滞留与其腰部疼痛相关，但对月经量、妇科炎症发生等无明显影响。

Retention status and safety analysis of intrauterine device in perimenopausal women

Objectives：To summarize the retention status of intrauterine device （IUD）in perimenopausal women and analyze its safety.Methods：A community survey of perimenopausal women was conducted to under-stand the retention status of IUD from October 2012 to March 2013.200 females using IUD and 200 not were select-ed randomly as research subjects.The waist pain,menstrual and gynaecological inflammation of the two groups was consulted and examined.Results：28 women （14.0%）in the research group had not experienced waist pain,while 61 cases （30.5%）had not in the control group,with significant difference between the two groups （P〉0.05）;no obvious difference was found between research group and control group in the incidence of gynaecological inflamma-tion and menstrual quantity,P＆gt;0.05,without statistical significance.Conclusions：Retention of IUD in perimeno-pausal women is related to their waist pain,but exerts no obvious effect on their menstrual quantity and gynaecologi-cal inflammation.