论文部分内容阅读
为了进一步对比两种国产皮下埋植避孕剂和Norplant在避孕效果、副反应和可接受性方面有无差异。方法:采用前瞻性、随机分配、定期随访的研究方法,全国有10个临床中心分别承担国产Ⅰ、I型皮下埋植剂和Norplant各100例,结果:自1993年开始共接收国产Ⅰ型1001例,I型1000例,Norplant998例。24个月随访率为99.2%,36个月随访率为99.1%。3年内仅国产Ⅰ型发生1例妊娠,Ⅰ型的净累积妊娠率为0.1每百妇女,因各种原因终止的净累积终止率国产Ⅰ、I型和Norplant分别为15.1、14.1和12.9每百妇女,其中因月经问题而终止者占75.1%。36个月的续用率分别为84.9%、85.9%和87.1%,3组间无差异。随访时的副反应主诉分别为22.6%、19.0%和19.7%,3组之间也无差异。结论:3年的临床观察表明:两种国产皮下埋植避孕剂和Norplant一样,是一种高效、长效的避孕方法,在全国不同地区和群体中具有较高的可接受性,可供广大育龄妇女选用。
In order to further contrast the two kinds of domestic subcutaneous implantable contraceptives and Norplant contraceptive effect, side effects and acceptability of any difference. METHODS: A prospective, randomized, regular follow-up study was conducted. Ten clinical centers nationwide were involved in 100 cases of domestic type Ⅰ and type I subcutaneous implants and Norplant, respectively. Results: A total of 100 cases of type Ⅰ 1001 For example, type I 1000 cases, norplant998 cases. The 24-month follow-up rate was 99.2% and the 36-month follow-up rate was 99.1%. Only 1 type of pregnancy occurred in domestic type Ⅰ in 3 years, and the net cumulative pregnancy rate of type Ⅰ was 0.1 per 100 women. The net cumulative rate of termination due to various reasons was 15.1,14 .1 and 12.9 per 100 women, of whom 75.1% were terminated due to menstrual problems. The 36-month follow-up rates were 84.9%, 85.9% and 87.1%, respectively, with no difference between the three groups. The number of side effects at follow-up were 22.6%, 19.0% and 19.7%, respectively, with no difference between the three groups. CONCLUSIONS: Three years of clinical observation have shown that two domestic contraceptives, subcutaneously implanted under the same conditions as Norplant, are an effective and long-lasting contraceptive method and are highly acceptable in different regions and populations throughout the country and are available to the general public Women of childbearing age choice.