补肾法对人工流产术后子宫内膜修复的影响  

Influence of Kidney-Tonifying Method on Endometrum Repairment After Artificial Abortion

作　　者：郭冰杰 肖雁冰[2] 

机构地区：[1]北京市顺义区中医医院,北京101300 [2]遵义市妇幼保健院,贵州遵义563000

出　　处：《河南中医》2015年第11期2806-2808,共3页Henan Traditional Chinese Medicine

摘　　要：目的:观察补肾法促进人工流产术后子宫内膜修复的临床疗效。方法:将80例患者随机分为补肾组和祛瘀组,每组各40例。两组患者术后常规预防感染,补肾组术后口服本院自拟补肾方汤剂,祛瘀组术后口服生化汤治疗。观察两组患者流产术后阴道流血时间,术后第2周和第3周复查B超,观察子宫内膜厚度、形态、子宫动脉血流指数,随访患者术后月经来潮时间及间隔天数。结果:补肾组术后阴道流血时间(4.7±1.2)d显著少于祛瘀组(6.4±1.2)d,差异具有统计学意义(P<0.001);补肾组术后2周和3周子宫内膜厚度级子宫动脉血流阻力指数均显著高于祛瘀组,差异具有统计学意义(P<0.001);补肾组术后第1次月经复潮时间及第2次月经来潮间隔时间均显著短于祛瘀组,差异具有统计学意义(P<0.001)。结论:人工流产术后应用补肾药能促使子宫内膜增长,缩短阴道流血时间、改善子宫动脉血流、促进术后月经及时复潮及建立正常月经周期。Objective： To observe the clinical effects of kidney-tonifying method on endometrum repairment after artificial abortion. Methods： 80 cases were randomized into kidney-tonifying group aml blood-stasis-resolving group, with 40 cases in each group. Both groups were performed conventional infection prevention. Kidney-tonifying group were orally administered Self-made Kidney- Tonifying Decoction. Blood-stasis-resolving group were orally administered Engendering and Transforming Decoction. The vaginal bleeding time of both groups after artificial abortion was observed. B-mode ultrasound examination was performed at the 2nd week and 3ird week after the abortion and the thickness of the endometrum, form, hlood flow index of the uterine artery, time of the menses and the interval were observed. Results： The vaginal bleeding time of kidney-tonifying group was （4.7± 1.2） d, signifi- cantly shorter than that of blood-stasis-resolving group （6.4± 1. 2） d ; the difference had statistical significance （ P 〈 0.0001 ）. After 2 weeks and 3 weeks of the abortion, the endometrial thickness and the index of blood flow resistance in the uterine artery in kidney-tonifying group were markedly higher than these in blood-stasis-resolving gruup; the difference had statistical signifi- cance （ P 〈 0. 0001 ）. The interval between the first and the second menstruation in kidney-tonifying group was greatly shorter than that in blood-stasis-resolving group; the difference had statistical significance （P 〈 0. 0001 ）. Conclusion： Kidney-tonifying drugs used ＇after artificial abortion can promote the growth of the endometrum, shorten the bleeding time, improve the blood flow of the uterine artery, promote menstruation ＇,flier abortion and reestablish normal menstrual cycle.

关 键 词：人工流产术 子宫内膜 补肾法 祛瘀法 

分 类 号：R271.919.3[医药卫生—中西医结合]