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目的评价江苏省海安县宫内节育器(IUD)首诊登记与随访的完成情况。方法选取2013年8月~2014年7月海安县、乡计划生育服务机构放置IUD的妇女1 335例进行筛查研究。结果 1 335例妇女选择放置涉及11种IUD。首次放置对象515例,占38.58%;再次放置820例,占61.42%。首次放置高危对象275例,占53.40%,高于再次放置对象(20.61%),差异有统计学意义(P<0.000 1)。849例对象完成1次随访,其中妇科检查和定位检查比例均为100%,IUD副反应和健康问题发生率为7.89%,吉妮致美IUD发生风险最高,元宫200型IUD风险最低。结论开展IUD首诊登记制度必要可行,需特别关注高危人群健康情况,加强随访。通过监测,选择适宜的节育器品种,为育龄妇女提供更优质服务。
Objective To evaluate the completion of first registration and follow-up of IUD in Hai’an County, Jiangsu Province. Methods From January 2013 to July 2014, 1 335 women with IUD placed in Haikou County and township family planning service institutions were selected for screening study. Results A total of 1 335 women were placed in 11 IUDs. For the first time, 515 cases were placed, accounting for 38.58%. There were 820 cases again, accounting for 61.42%. For the first time, 275 cases of high risk were placed, accounting for 53.40%, which was higher than that of the second place (20.61%), the difference was statistically significant (P <0.0001). 849 subjects completed one follow-up. The proportion of gynecological examinations and location examinations was 100%. The incidence of side effects and health problems of IUD was 7.89%. The risk of Gini lead to IUD was the highest, while that of Yuan Gong 200 was the lowest. Conclusion It is necessary and feasible to carry out the first registration system of IUD. Special attention should be paid to the health status of high risk population and the follow-up should be strengthened. By monitoring and selecting suitable types of IUDs, we can provide better service to women of childbearing age.