宫内器械和盆腔炎症疾病:国际视角
T M Farley1, M J Rosenberg, P J Rowe
1Special Programme of Research, Development, and Research Training in Human Reproduction, World Health Organisation, Geneva, Switzerland.
Lancet (London, England)
|March 28, 1992
概括
宫内器械 (IUD) 的盆腔炎症疾病 (PID) 风险主要与插入过程有关,而不是长期使用. 避孕套在整个使用寿命内是安全的,减少了不必要的更换和相关的PID风险.
科学领域:
- 生殖健康 生殖健康
- 传染病流行病学 传染病流行病学
背景情况:
- 在历史上,人们对宫内器械 (IUD) 带来的盆腔炎症疾病 (PID) 风险的担忧影响了全球的IUD使用,特别是在美国.
- 以前的研究表明,宫内节育器使用和PID之间存在联系,导致某些宫内节育器的采用率下降和退出市场.
- 目前的理解表明,除了IUD使用本身之外的因素是PID风险的主要决定因素.
研究的目的:
- 调查与宫内器械 (IUD) 使用相关的PID风险的发生率和模式.
- 分析世界卫生组织IUD临床试验数据,以澄清IUD和PID之间的关系.
- 为IUD替代策略提供基于证据的建议.
主要方法:
- 世界卫生组织关于IUD插入的临床试验数据的审查.
- 分析了22908例IUD插入和51399名女性年随访期间的PID发病率.
- 对混因素进行统计调整,以准确评估PID风险.
主要成果:
- 整体PID的发病率为每1000个女性年1.6例.
- 在插入后的前20天内,PID风险超过6倍以上 (每1000个女性年9.7),而后期 (1.4每1000个女性年).
- 长达八年的PID风险保持低且稳定,因地理区域,年龄和最近的插入日期而有所变化.
结论:
- 在IUD使用者中,PID的主要风险因素是插入程序本身,以及事先存在的性传播疾病风险.
- 在IUD插入后的最初20天之后,PID很少发生.
- 避孕套应该保持在最长的寿命,以最大限度地减少与更换手术相关的PID风险,除非有禁忌.
关键词:
接收器特征 接收器特征接收器是指接收器的接收器.附带炎是一种附带炎.年龄因素 年龄因素生物学 生物学 生物学避孕药是一种避孕药,用于避孕.避孕方法 避孕方法数据分析 数据分析人口结构因素 人口结构因素疾病 疾病 疾病经济因素 经济因素检查和诊断 检查和诊断计划生育 计划生育方式计划生育计划 计划生育计划 计划生育计划生育能力 生育能力 生育能力测量生育能力的方法地理因素 地理因素事件发生率 事件发生率感染 感染 感染我已经开始了.测量方法 测量方法的平价性.盆腔炎症性疾病 盆腔炎症性疾病人口人口的人口人口.人口特征 人口特征人口动态 人口动态生殖道感染 生殖道感染研究方法研究方法研究方法学风险因素 风险因素性传播疾病性传播疾病社会经济因素 社会经济因素时间因素 时间因素相关概念视频
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