生化汤对药流术后缩短阴道流血时间及降低清宫率的临床价值分析  

Analysis of clinical value of biochemical decoction for shortening vaginal bleeding time and reducing uterine clearance rate after drug abortion

作　　者：钟璐 ZHONG Lu(Department of Gynecology,Jing'an County People's Hospital,Yichun 330600,China)

机构地区：[1]靖安县人民医院中医妇科,330600

出　　处：《中国现代药物应用》2022年第15期49-52,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨生化汤对药物流产(药流)术后缩短阴道流血时间及降低清宫率的临床价值。方法108例药流术后患者,随机分为对照组和观察组,每组54例。对照组未使用任何药物,观察组使用生化汤治疗。比较两组流产效果、阴道流血时间、阴道出血量、清宫率、药物不良反应发生率及治疗前后中医证候积分。结果观察组完全流产率92.59%明显高于对照组的68.52%,不全流产率7.41%明显低于对照组的27.78%,差异具有统计学意义(P<0.05);两组流产失败率比较差异无统计学意义(P>0.05)。观察组阴道流血时间为(12.28±2.63)d,短于对照组的(19.47±3.15)d,差异具有统计学意义(P<0.05)。观察组阴道出血量少于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组小腹疼痛、阴道出血、面色白、神疲懒言积分分别为(0.52±0.17)、(0.67±0.19)、(0.63±0.15)、(0.54±0.16)分,明显低于对照组的(1.48±0.23)、(1.52±0.24)、(1.58±0.21)、(1.50±0.23)分,差异具有统计学意义(P<0.05)。观察组清宫率7.41%低于对照组的31.48%,差异具有统计学意义(P<0.05);两组药物不良反应发生率比较差异无统计学意义(P>0.05)。结论药流术后给予患者生化汤能提高完全流产率,缩短阴道流血时间,减少阴道出血量,缓解中医证候,降低清宫率,且药物不良反应发生率低,体现出了较高的疗效及安全性,具有积极的临床意义。Objective To discuss the clinical value of biochemical decoction for shortening vaginal bleeding time and reducing uterine clearance rate after drug abortion.Methods A total of 108 patients after drug abortion were randomly divided into control group and observation group,with 54 cases in each group.The control group did not use any drugs,and the observation group was treated with biochemical decoction.The abortion effect,duration of vaginal bleeding,amount of vaginal bleeding,uterine clearance rate,incidence of adverse drug reactions,and traditional Chinese medicine syndrome scores before and after treatment were compared between the two groups.Results The complete abortion rate of the observation group was 92.59%,which was significantly higher than 68.52%of the control group;the incomplete abortion rate of the observation group was 7.41%,which was significantly lower than 27.78%of the control group;all the difference was statistically significant(P<0.05).There was no statistically significant difference in the abortion failure rate between the two groups(P>0.05).The duration of vaginal bleeding in the observation group was(12.28±2.63)d,which was shorter than(19.47±3.15)d in the control group,and the difference was statistically significant(P<0.05).The amount of vaginal bleeding in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of lower abdominal pain,vaginal bleeding,pale complexion and fatigue and lazy words in the observation group were(0.52±0.17),(0.67±0.19),(0.63±0.15),and(0.54±0.16)points,which were significantly lower than(1.48±0.23),(1.52±0.24),(1.58±0.21),and(1.50±0.23)points in the control group,and the differences were statistically significant(P<0.05).The uterine clearance rate of the observation group was 7.41%,which was lower than 31.48%of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse d

关 键 词：药物流产 生化汤 阴道流血时间 清宫率 临床价值 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]