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目的 :对 15 4例以醋酸甲孕酮 15 0 mg避孕的续用情况进行了临床分析。结果 :该药的避孕效果为 10 0 % ,但不规则出血发生率为 7.8% ;点滴出血发生率高达 5 7.2 % ;闭经发生率高达 30 .5 %。因这些原因停止使用的占 95 .5 %。6 4.9%的妇女在第一次注射 DMPA后因出现出血问题 ,而停止使用 DMPA(其中发生闭经的妇女占 15 % )。5 4例坚持接受两次以上注射 DMPA44例 (占总数的 2 8.6 % )于第二次注射后停用 (其中发生闭经的妇女占 6 3.6 % )。闭经的总例数为 47例 (30 .5 % )。 2 1例未产妇中 ,仅 4例连续用药 2次 ,9例闭经 ,12例月经紊乱而终止使用。经产妇与未产妇的续用率相比经产妇高于未产妇。未产妇对月经的改变的可接受性要差。
OBJECTIVE: To conduct a clinical analysis of the 15 4 cases of contraceptive reuse of 15 000 mg of medroxyprogesterone acetate. Results: The contraceptive effect of this medicine was 100%, but the incidence of irregular bleeding was 7.8%. The incidence of drip bleeding was as high as 5.22%. The incidence of amenorrhea was as high as 30.5%. 95. 5% of those who stopped using it for these reasons. 6 4.9% of women discontinued DMPA due to bleeding problems after the first DMPA injection (15% of women with amenorrhea). Of the 44 patients who insisted on more than two injections of DMPA, 44% (22.6% of the total) received withdrawal after the second injection (6 3.6% of women with amenorrhea). The total number of amenorrhea cases was 47 cases (30.5%). Of the 21 non-mothers, only 4 cases received continuous medication 2 times, 9 cases of amenorrhea, 12 cases of menstrual disorders and termination of use. After the mothers and mothers than the continuation rate than the mothers than mothers. Unmet maternal changes in the acceptance of menstrual poor.