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目的分析剖宫产术中放置宫内节育器的临床效果。方法选择2012年10月至2013年10月接受剖宫产的女性作为研究对象,采用随机数字表法分为接受剖宫产术中宫内节育器置入的观察组、单纯剖宫产术的对照组,每组200例。比较2组产妇的手术相关指标、产后意外妊娠的发生率等差异。结果观察组产妇在术中置入节育器后的手术时间、术中出血量、术后肛门排气时间、术后住院时间等指标水平与对照组比较差异无统计学意义(P>0.05);观察组剖宫产后3、6、12个月的意外妊娠发生率均明显低于对照组(P<0.05)。结论剖宫产术中放置宫内节育器不会增加术中出血量及产妇术后恢复,可以大幅降低产后1年内的意外妊娠发生率,具有积极的临床意义。
Objective To analyze the clinical effect of intrauterine device placement in cesarean section. Methods The women who underwent cesarean section from October 2012 to October 2013 were selected as the study subjects and divided into observation group undergoing cesarean section with IUD insertion by random number table method. Control group, 200 cases in each group. Comparison of operation-related indicators of maternal 2 groups, the incidence of postpartum unwanted pregnancies and other differences. Results There was no significant difference in the operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative hospital stay among the observation group and the control group (P> 0.05). The incidence of unwanted pregnancies in observation group at 3, 6 and 12 months after cesarean section were significantly lower than those in control group (P <0.05). Conclusion Cesarean section placement of IUD does not increase intraoperative blood loss and maternal postoperative recovery, can significantly reduce the incidence of unwanted pregnancies within 1 year postpartum, with a positive clinical significance.