对延长使用子宫内器械的综合性审查
Nursing for women's health
|October 20, 2023
概括
延长宫内器械 (IUD) 的使用超过其批准的持续时间对于生育年龄的女性来说是安全有效的,副作用很少. 需要进一步的研究才能充分了解长期使用IUD的长期影响.
科学领域:
- 生殖健康 生殖健康
- 避孕药是一种避孕药,用于避孕.
- 证据综合 证据综合
背景情况:
- 宫内避孕器 (IUD) 是一种常见的长效可逆避孕方式.
- 目前的指导方针建议在指定时间后更换IUD.
研究的目的:
- 审查关于延长宫内器械 (IUD) 使用超过FDA批准的持续时间的安全性和有效性的现有证据.
- 确定与扩大IUD使用相关的常见主题,包括有效性,副作用和成本效益.
主要方法:
- 2012年至2022年间发表的同行评审文章的综合性审查.
- 在PubMed,CINAHL和谷歌学者中进行了搜索.
- 从10篇涉及7420名女性的文章中提取和综合使用PRISMA指南的数据.
主要成果:
- 延长IUD使用表明,在预防怀孕方面感知到有效性.
- 共同的主题包括对不良影响,成本效益和整体感知效率的分析.
- 在长时间使用IUD时,报告的副作用很小.
结论:
- 有证据表明,将IUD的使用延长到FDA批准的时间框架之外是安全和有效的.
- 长期使用宫内节育器与最小的不良影响有关.
- 需要更多的研究来彻底检查长期使用IUD的影响.
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