论文部分内容阅读
目的分析影响围绝经期及绝经后期妇女宫内节育器(intrauterine contraceptive device,IUD)取出的相关因素。方法回顾性分析江门市人口和计划生育服务中心2005～2010年间围绝经期及绝经后期取出IUD的290例妇女的相关临床资料,根据取出的难易程度,将其分为容易取出组(A组)200例,困难取出组(B组)90例,采用病例对照分析和Logistic回归分析A、B组间影响围绝经期及绝经后期妇女IUD取出的相关因素。结果病例对照分析表明,妇女年龄越大、置器年限越长、绝经后取器时间越长,IUD的取出越困难,A、B两组比较,差异有统计学意义(P<0.05);两组绝经年龄比较,差异无统计学意义(P>0.05)。Logistic回归分析表明IUD取出的难易程度与置器年限与绝经后取器时间呈正相关,与妇女绝经年龄相关性不大。结论 IUD的取出应该充分考虑妇女的置器时间和绝经后取器时间,这样可以减少围绝经期妇女IUD取出的并发症,降低取IUD的风险。
Objective To analyze the related factors affecting the removal of intrauterine contraceptive device (IUD) in perimenopausal and postmenopausal women. Methods The clinical data of 290 women during peri-menopausal and post-menopausal periods with IUD taken during 2005-2010 in Jiangmen Population and Family Planning Service Center were retrospectively analyzed. According to the ease of removal, they were divided into two groups: group A ) In 200 cases, and difficult to remove group (B group) in 90 cases. Case-control analysis and Logistic regression analysis were used to analyze the related factors influencing peri-menopausal and post-menopausal women’s IUD removal between groups A and B. Results The case-control analysis showed that the older women were, the longer the duration of the device placement and the longer the time of taking off the postmenopausal women were, the more difficult it was to take out the IUDs. There was significant difference between A and B groups (P <0.05); Group menopause age, the difference was not statistically significant (P> 0.05). Logistic regression analysis showed that the ease of removal of IUD was positively correlated with the age of the device and the time of taking off the device after menopause, but not with the age of menopause. Conclusion The removal of IUD should take full account of the placement time of women and the time of postmenopausal taking off, which can reduce the complications of IUD removal in perimenopausal women and reduce the risk of taking IUD.