Haugan Tommy, Skjeldestad Finn Egil, Halvorsen Lars Erik, Kahn Henriette
Department of Epidemiology, SINTEF Health Research, N-7465 Trondheim, Norway.
Contraception. 2007 Mar;75(3):171-6. doi: 10.1016/j.contraception.2006.09.005. Epub 2006 Oct 27.
The objective of this open randomized study was to compare the clinical performance of Nova T380 and Gyne T380 Slimline copper intrauterine devices (IUDs).
Eligible for analyses were 957 Norwegian parous women aged 18-45 years. Clinical performance was measured upon the removal of IUD due to contraceptive failure, expulsion, bleeding, pain, pelvic inflammatory disease and other medical reasons during a 5-year study period.
The discontinuation rate due to contraceptive failure was significantly higher in the first year for Nova T380 users than for Gyne T380 Slimline users, whereas no differences were observed thereafter (the 5-year cumulative failure rates were 4.4% and 2.2%, respectively, per 100 women). However, the partial expulsion rate was significantly higher in the first year for Gyne T380 Slimline users than for Nova T380 users (the 5-year cumulative rates were 3.4% and 1.1,% respectively, per 100 women). No other major differences in reasons for discontinuation were found between the study groups. There was a slight nonsignificant increase in hemoglobin levels for both study groups over the course of the study.
Clinical performance was considered satisfactorily high for both devices.
本开放性随机研究的目的是比较Nova T380和Gyne T380 Slimline铜宫内节育器(IUD)的临床性能。
957名年龄在18 - 45岁的挪威经产妇符合分析条件。在为期5年的研究期间,因避孕失败、排出、出血、疼痛、盆腔炎及其他医学原因取出宫内节育器时测量临床性能。
在第一年,Nova T380使用者因避孕失败的停用率显著高于Gyne T380 Slimline使用者,而此后未观察到差异(每100名女性的5年累积失败率分别为4.4%和2.2%)。然而,在第一年,Gyne T380 Slimline使用者的部分排出率显著高于Nova T380使用者(每100名女性的5年累积率分别为3.4%和1.1%)。研究组之间在停用原因上未发现其他主要差异。在研究过程中,两个研究组的血红蛋白水平均有轻微的、无统计学意义的升高。
两种装置的临床性能均被认为令人满意地高。