中文摘要：

目的：调查和评估基层计划生育服务机构开展的＂宫内节育器（IUD）放置技术标准＂执行情况,为进一步探索IUD规范化技术操作的临床路径提供科学依据。方法：采用美国人口理事会推荐的情景分析方法。2013年2～3月随机抽取安徽、云南两省的4个县计划生育服务站和12个乡计划生育服务所。收集与IUD放置技术标准操作的相关数据及资料进行分析。结果：①服务提供者的理论考核中,除基础知识外,县站计划生育服务机构人员的消毒知识、临床知识、常规知识比乡级机构人员得分高（P〈0.05）。②手术质量管理及硬件评估情况中,妇科检查室评分、辅助检查室评分、手术室评分、手术质量管理水平评分、抢救药品齐全情况评分,县站均高于乡所得分（P〈0.05）。无菌物品的管理县乡之间相比差异没有统计学意义（P〉0.05）。③放置IUD手术过程评分中门诊病历和术前同意书两项评分县站和乡所均无统计学意义（P〉0.05）,术前病史采集及体格检查、衣帽及个人卫生等、术前刷手、消毒技术观察评分、放置IUD手术过程评分、手术记录及随访安排评分县站均高于乡所得分（P〈0.05）。结论：基层计划生育服务机构IUD放置技术标准操作水平总体县站高于乡所,但是两级服务机构操作水平都有待加强。

英文摘要：

Objective：To explore the execution of the standard operation of intrauterine device（IUD）insertion in family planning institutes at the grassroots level for further exploring the clinical pathway of the standardized technical operation in IUD insertion.Methods：The scenario analysis method recommended by the American Population Council was used to collect relevant data and information about the standard operation of IUD insertion.Results：The scores of knowledge on disinfection,clinical knowledge,regular knowledge but basic knowledge among the county family planning personnel in the theoretical examination of service providers were significantly higher than those among the township family planning personnel（P〈0.05）.The scores of auxiliary examination rooms,operating rooms,surgical quality management level,well-equipped rescue drug among the county in surgical quality management and assessment of the hardware were significantly higher than those among the township（P 0.05）,while there was no significant difference in the management of the sterile items（P〉0.05）.There were no significant differences in scores of outpatient records and preoperative consent form in the operation process of IUD insertion between the two groups（P〉0.05）.In the aspect of preoperative medical history collection,the physical examination and personal hygiene,brush in hand before surgery,sterilization techniques,operation process of IUD insertion,surgical records and follow-up arrangements,the scores of the county was significant higher than those of the township.Conclusion：Overall,although the standard operation level of IUD insertion in grassroots family planning institutes is higher in the county than in the township,operation levels of the two service agencies should be further strengthened.