活血清宫汤治疗药物流产后阴道出血的临床疗效研究  

Clinical effect of Huoxue Qing Gong decoction in the treatment of vaginal bleeding after medical abortion

作　　者：王芳 Wang Fang(Department of Gynecology,the People's Hospital of Dongping County,Shandong 271500,China)

机构地区：[1]山东省东平县人民医院妇科门诊,271500

出　　处：《中国基层医药》2020年第1期15-19,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：山东省医药卫生科技发展计划项目(2016WS0596)。

摘　　要：目的探讨活血清宫汤治疗药物流产后阴道出血的临床疗效。方法选择2016年5月至2017年6月东平县人民医院收治的药物流产后阴道出血患者90例,采用随机数字表法分为观察组和对照组,每组45例。两组均采用药物流产终止妊娠,对照组患者终止妊娠成功后口服甲硝唑片+肾上腺色腙片治疗,观察组患者在对照组治疗基础上给予活血清宫汤治疗。观察比较两组流产效果、药物流产后出血时间、出血量及两组治疗后月经复潮时间和月经持续时间。结果观察组完全流产率为95.6%,显著高于对照组的84.4%,差异有统计学意义(χ2=5.620,P<0.05);观察组药物流产后出血时间≤7 d者占37.8%,显著高于对照组(11.1%),差异有统计学意义(χ2=5.628,P<0.05),观察组药物流产后出血时间8~14 d者占60.0%,显著低于对照组(73.3%),差异有统计学意义(χ2=6.571,P<0.05),观察组药物流产后出血时间≥15 d者占2.2%,显著低于对照组(15.6%),差异有统计学意义(χ2=5.028,P<0.05);观察组药物流产后阴道出血量<既往月经量者占60.0%,显著高于对照组(28.9%),差异有统计学意义(χ2=6.021,P<0.05),观察组药物流产后阴道出血量同既往月经量者占22.2%,显著低于对照组(26.7%),差异有统计学意义(χ2=5.114,P<0.05),观察组药物流产后阴道出血量>既往月经量者占17.8%,显著低于对照组(44.4%),差异有统计学意义(χ2=6.375,P<0.05);观察组月经复潮时间为(29.5±4.2)d,显著短于对照组的(37.9±4.3)d,差异有统计学意义(t=5.028,P<0.05),观察组月经持续时间为(5.0±1.1)d,显著短于对照组的(6.9±1.2)d,差异有统计学意义(t=3.229,P<0.05)。结论药物流产后阴道出血采用活血清宫汤治疗,能够显著缩短阴道出血时间,减少阴道出血量,提高完全流产率,且对药物流产后首次月经周期和经期无明显影响。Objective To explore the clinical effect of Huoxue Qing Gong decoction in the treatment of vaginal bleeding after medical abortion.Methods From May 2016 to June 2017,90 cases of vaginal bleeding after drug abortion in the People's Hospital of Dongping County were divided into the observation group and the control group according to the digital table,with 45 cases in each group.The two groups were all treated with drug abortion to terminate pregnancy,and the control group was treated with metronidazole tablets+carbazochrome tablets after the termination of pregnancy.The observation group was treated with Huoxue Qing Gong decoction on the basis of the control group.The effect of abortion,bleeding time and bleeding volume after drug abortion,the time of menstrual recovery and menstrual duration after treatment in the two groups were observed and compared.Results The total abortion rate in the observation group was 95.6%,which was significantly higher than that in the control group(84.4%),the difference was statistically significant(χ2=5.620,P<0.05).The proportion of bleeding time≤7d after abortion in the observation group was 37.8%,which was significantly higher than that in the control group(11.1%),the difference was statistically significant(χ2=5.628,P<0.05).The proportion of bleeding time 8~14d of the observation group was 60%,which was significantly lower than that of the control group(73.3%),the difference was statistically significant(χ2=6.571,P<0.05).The proportion of bleeding time more than 15d after drug abortion of the observation group was 2.2%,which was significantly lower than that of the control group(15.6%),the difference was statistically significant(χ2=5.028,P<0.05).The proportion of vaginal bleeding volume<previous menstrual volume after drug abortion of the observation group was 60.0%,which was significantly higher than that of the control group(28.9%),the difference was statistically significant(χ2=6.021,P<0.05).The proportion of amount of vaginal bleeding=previous menstrual volume after d

关 键 词：流产 人工/副作用 子宫出血 活血祛瘀 活血清宫汤 流产率 月经周期 月经复潮 妊娠终止 

分 类 号：R27[医药卫生—中医学]