仿生物电疗法促进药物流产后子宫修复的临床研究  

Clinical Research of Bionic Electrical Stimulation Therapy for improving uterus recovering after medical abortion

作　　者：苏园园[1] 曹丽[1] 韩燕华[1] 翁丽[1] 陈燕[1] 肖智智[1] 程娟[1] 

机构地区：[1]广东省中山市人民医院,528403

出　　处：《中国计划生育学杂志》2015年第10期684-687,共4页Chinese Journal of Family Planning

基　　金：广东省科学技术厅立项(2013B022000011)

摘　　要：目的:探讨早孕妇女药物流产后行仿生物电疗法促进子宫修复的临床效果。方法:采用前瞻性研究方法,选取2014年1~12月在本院门诊因非意愿妊娠,自愿要求药物流产的早孕妇女179例,随机分为电刺激+避孕药组60例;避孕药组61例;对照组58例。于药物流产排胎后2周及第1次恢复月经后复查,观察临床症状、血红蛋白(Hb)变化(药物流产前及排胎后2周血红蛋白水平差值)及B超检测情况。结果:电刺激+避孕药组腹痛程度及持续时间、阴道流血量及流血时间均低于避孕药组及对照组,月经恢复时间早于避孕药组及对照组,差异均有统计学意义(P均<0.05),血红蛋白变化较避孕药组和对照组小,差异均有统计学意义(P均<0.05)。B超检测显示,电刺激+避孕药组及避孕药组的宫腔组织残留发生率低于对照组(P<0.05),子宫内膜厚度均高于对照组(P<0.05),电刺激+避孕药组宫腔组织残留发生率较避孕药组低(P<0.05)。结论:仿生物电疗法联合避孕药用于药物流产后镇痛及子宫修复,可促进药物流产后妇女康复,值得临床应用。Objective： To explore the clinical effective of l^ionic Electrical Stimulation Therapy （BEST） for improving women uterus recovering after medical abortion. Methods： From January to December 2014, 179 unwanted pregnant women who performed medical abortion were randomized into three groups： BEST combined oral eontraceptive（OC） group （n= 60）, OC only group（n= 61） and control group（n= 58）. All women were followed up to two weeks after MA and to menstrual recovered. The evaluation index included clinical symptoms, hemoglbin（HB） and oucomes of ultra- sonography. Results： The degree and duration of abdominal pain of women in BEST combined with OC group were the lowest in the tree group. Women in BEST combined with OC group and in OC group, whose vaginal bleeding volume was less , bleeding duration was shorter, and the menstrual recovery was quicker（P〈0.05）. Hemoglobin decreasing of women in BEST combined with OC group was less than that of women in OC group and control group （P〈0.05）. Based on ultrasonography, number of women with no residue in uterus cavity in BEST combined with OC group were higher than that of control group, and their endometrial were thicker than that of control group （P〈0.05）. Number of women with no residue in BEST combined with OC group was least among the three groups （P〈0.05）. Conclusion： The BEST combined with OR should decrease pain and improve uterus recovering for women after medical abortion. It is an advantage therapy with safety, non-invasive and no side effect, which is worthy of clinical promotion.

关 键 词：药物流产 仿生物电疗法 子宫修复 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]