新生化颗粒配伍葆宫止血颗粒治疗子宫内膜复旧不良208例临床观察  

Efficacy of Xinshenghua granule and Baogong Zhixue granule in treating endometrial subinvolution

作　　者：王嗣丹 王玢[2] 

机构地区：[1]锦州市中医医院药剂科,辽宁锦州121001 [2]中国人民解放军空军总医院妇产科,北京100142

出　　处：《中国性科学》2015年第12期93-95,共3页Chinese Journal of Human Sexuality

摘　　要：目的：探讨新生化颗粒配伍葆宫止血颗粒治疗分娩后子宫内膜复旧不良的疗效。方法：将我院2011年10月至2014年6月产后复查中确诊为子宫内膜复旧不良者420例随机分为观察组和对照组。观察组208例,对照组212例,观察组给予新生化颗粒12g 3/d及葆宫止血颗粒15g 2/d口服,对照组口服益母草颗粒5g 2/d,两组均连续服药7d,停药7d返院复查,停药7d血性恶露未停止者追踪观察至血性恶露停止为止。结果：观察组于服药后1~14d血性恶露停止,平均（5.17±2.26）d,服药7d内血性恶露停止者185例（占89.12%）,停药7d复查血性恶露无复发,超声提示宫腔积液消失,无继发盆腔感染者;对照组于就诊后7~123d血性恶露自然停止,平均（18.17±2.31）d,就诊后7d内血性恶露自然停止者64例（占30.19%）,继发盆腔炎12例（占5.66%）。观察组血性恶露停止时间短于对照组、继发盆腔感染者少于对照组,两组间相比较差异均具有显著性（P〈0.05）。结论：新生化颗粒配伍葆宫止血颗粒治疗子宫内膜复旧不良疗效确切,及时治疗子宫内膜复旧不良可减少继发盆腔感染。Objectives： To discuss the emcacy of Xinshenghua granule and Baogong Zhixue granule in treating endometrial subinvolution. Methods： 420 patients diagnosed as endometrial subinvolution in postpartum review were divided into two groups randomly, the observation group of 208 cases and the control group of 212 cases. The observation group was administrated with Xinshenghua granule 12g 3/d and Baogong Zhixue granule 15g 2/d; the control group was given Yimucao granule 5g 2/d. Both groups were treated for 7 days, and were followed up. Those who didn＇ t stop vaginal bleeding 7 days after withdrawn were continually followed up until the symptom disap- peared. Results： In the observation group, sign of vaginal bleeding disappeared 1 - 14 days after treatment, the av- erage time being 5.17±2.26d; 185 cases （89.12%） were cured in 7 days, whose liquid in uterus cavity under the ultrasound disappeared completely and none of whom suffered from secondary pelvic affection. In the control group, signs of vaginal bleeding disappeared in 7 - 123 days after treatment, the average being 18.17±2.31d; the symp- tom 0f64 cases （30. 19% ） disappeared within a week and 12 cases （5.66%） fell in secondary pelvic infection. The recovery time of vaginal bleeding was shorter and the rate of contracting secondary pelvic infection was fewer in the observation group, with significant difference （ P 〈 0. 05 ）. Conclusions： Xinshenghua granule and Baogong Zhixue granule is effective in treating endometrial subinvolution, and in time treatment can reduce the incidence of secondary pelvic infection.

关 键 词：子宫内膜复旧不良 新生化颗粒 葆宫止血颗粒 继发盆腔感染 

分 类 号：R711.74[医药卫生—妇产科学]