【摘要】 采用随机方法在辽宁省北宁地区选择40岁以下健康经产妇女埋入国产Ⅰ型、Ⅱ型和Norplant皮埋剂各100例,按照统一标准随访,对于皮埋后主要副反应月经问题进行追踪观察和分析。结果:由于人们已经逐渐了解皮下埋植避孕法,尤其农村妇女对其引起不垫月经垫的出血的耐受力较强,主诉月经问题及月经日记分析的流血、滴血天数低于以往文献报道,主要是因平均滴血天数不同的原因。埋植者对月经稀发问题并不反对,对埋后闭经者约半数可接受。通过月经日记分析,在使用第一年约有70％妇女出现月经异常,与文献报道相符。对于典型的异常出血(包括年度内出现≥90天不出血者和出现持续出血≥14天者)对接受者体重并无影响,三组P>0.05。三组埋植者血红蛋白在正常范围内有增无减,至2年均有显著差异,P<0.01。本文提示皮下埋植后妇女可能改变既往传统的月经规律,只要不是长期不规则出血、出血期过长及出血过频较严重或过长的闭经则不必担心,也不需处置,良好的咨询及等待即可,一般可接受的异常出血对妇女健康并无影响,埋植剂一经取出,大部分在60天内恢复月经。更多还原

【Abstract】 Objective:The trail depends on standard plan to e-valuate and analyse the major side effect on menstrua-tioin of three kinds implant contraceptive——Local implant No. Ⅰ ,Ⅱ and Norplant. Method: 300 wmen are enrolled, 100 women are in each group. A randomized comparative study of implant contraceptive on the health parity females under 40 years old of Beining, Liaoning Province. Results: Because more people know the implant method gradually, especially the rural females have a good acceptance on spotting which no need pads, the complaint of menstrual problems and the days of bleeding and spotting with daily bleeding calendars are lower than other literature, the main difference is the average days of spotting. The objects are not dissatisfied with infrequent bleeding. Half females of amenorrhea after implanting accept it. With the analysis of daily bleeding calendars, it is about 70 % females occur the change of menstrual pattern during the first year of use and this is as same as the other reports. It has no influence on the weight of female objects who has typical abnormal bleeding (including no bleeding≥90 days per year and continue bleeding≥ 14 days), P > 0. 05 of three groups. The hemoglobins of the three groups increase in normoral range and it has significant difference after 2 years, P < 0. 01. Conclude: The objects with implant contraceptive will have their change of menstrual pattern. It is no need to worry and deal with if they have no long time irregular bleeding, prolonged bleeding, frequent bleeding and amenorrhea, good counseling and waiting are better for them. It will not affect the health of women with mild abnormal bleeding. Most women will have their menstruation in 60 days after removing implants.更多还原