产妇安颗粒联合益母草颗粒与头孢拉定胶囊治疗药物流产后阴道流血临床研究  

Clinical Study on Chanfu'an Granules Combined with Herba Leonuri Granules and Cephradine Capsules for Vaginal Bleeding After Medical Abortion

作　　者：杨爱萍 YANG Aiping

机构地区：[1]宁海县妇幼保健院计划生育科,浙江宁海315600

出　　处：《新中医》2020年第8期103-106,共4页New Chinese Medicine

摘　　要：目的:观察产妇安颗粒联合益母草颗粒与头孢拉定胶囊治疗药物流产后阴道流血的疗效及安全性。方法:以本院诊治的108例药物流产后阴道流血患者作为研究对象,随机分为观察组和对照组各54例,2组患者均给予头孢拉定胶囊与益母草颗粒治疗,观察组加用产妇安颗粒,治疗5 d。观察并记录治疗过程中2组患者的阴道出血持续时间、阴道出血量及不良反应,对比2组患者的临床疗效及月经恢复情况。结果:治疗后,临床疗效总有效率观察组98.15%,对照组79.63%,2组比较,差异有统计学意义(P<0.01)。观察组阴道出血量多、阴道出血量正常的患者比例均少于对照组,阴道出血量少的患者比例高于对照组,差异均有统计学意义(P<0.05,P<0.01)。观察组阴道出血时间较对照组缩短,月经复潮时间较对照组提前,月经复潮量少于对照组,子宫内膜厚于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:将产妇安颗粒联合益母草颗粒及头孢拉定胶囊应用于药物流产后阴道流血的治疗,可有效减少患者的出血量、缩短阴道出血时间,促使子宫内膜恢复,临床效果显著且安全性高。Objective:To observe the curative effect of Chanfu'an granules combined with Herba Leonuri granules and cephradine capsules for vaginal bleeding after medical abortion and its safety.Methods:A total of 108 cases of patients with vaginal bleeding after medical abortion in our hospital were selected as the study subjects and randomly divided into the observation group and the control group,54 cases in each group.Both groups were treated with Herba Leonuri granules and cephradine capsules,and the observation group was additionally treated with Chanfu'an granules.Both groups were treated for five days.During treatment,the duration of vaginal bleeding,vaginal bleeding volume and adverse reactions in the two groups were observed and recorded;the clinical effect was compared and the menstruation recovery was evaluated.Results:After treatment,the clinical total effective rate was 98.15%in the observation group and 79.63%in the control group,the difference being significant(P<0.01).The proportions of patients with more vaginal bleeding volume,normal volume were lower than that in the control group,less volume in the observation group was higher than that in the control group,differences being significant(P<0.05,P<0.01).Compared with those in the control group,in the observation group,the duration of vaginal bleeding was shorter,the re-menstruation time earlier,the re-menstruation volume less,and the endometrium thicker,differences being significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,the difference being significant(P<0.05).Conclusion:The application of Chanfu'an granules,Herba Leonuri granules and cephradine capsules in the treatment of vaginal bleeding after medical abortion can effectively reduce the bleeding volume,shorten the duration of vaginal bleeding,and promote the recovery of endometrium with significant clinical effect and high safety.

关 键 词：药物流产 阴道流血 产妇安颗粒 益母草颗粒 阴道出血量 阴道出血时间 

分 类 号：R714.21[医药卫生—妇产科学]