葆宫止血颗粒联合隔姜灸在流产中的应用价值  

Application value of Baogong Zhixue granules combined with ginger separated moxibustion in patients with abortion

作　　者：彭秋香 郑秋香 李小梅 邓睿 PENG Qiuxiang;ZHENG Qiuxiang;LI Xiaomei;DENG Rui(Dept.of Obstetrics and Gynecology,Beihu Hospital of Xinyu,Xinyu 338000,China)

机构地区：[1]新余北湖医院妇产科,江西新余338000

出　　处：《华夏医学》2023年第5期114-118,共5页Acta Medicinae Sinica

基　　金：新余市科技计划项目(20223091009)。

摘　　要：目的:观察葆宫止血颗粒联合隔姜灸在流产中的应用价值。方法:选取人工流产患者80例,按照随机数字表法分为对照组和观察组,每组40例。对照组应用葆宫止血颗粒治疗,观察组在对照组基础上采用隔姜灸治疗。比较流产后出血量、出血时间、月经复潮时间、下腹胀痛程度、子宫复旧、不良反应发生率。结果:与对照组比较,观察组流产后出血量更少,出血时间及月经复潮时间更短(P<0.05)。用药3 d后,两组下腹VAS评分显著下降,且观察组低于对照组(P<0.05)。治疗后,两组子宫体积明显缩小,子宫底高度明显降低,子宫内膜厚度明显增加,且观察组变化均更明显(P<0.05);两组均无不良反应。结论:葆宫止血颗粒联合隔姜灸能够缩短流产后出血时间,减少出血量,减轻下腹胀痛程度,促进子宫复旧。Objective:To observe the application value of Baogong Zhixue granules combined with ginger separated moxibustion in patients with abortion.Methods:80 patients undergoing artificial abortion were selected and randomized into the control group and observation group,each with 40 cases.The control group were treated with Baogong Zhixue granules,while the observation group were treated with ginger separated moxibustion on the basis of the control group.The amount of post⁃abortion bleeding,bleeding time,the return of menstruation,the degree of lower abdominal pain and distension,involution of uterus,and the incidence of adverse reaction were compared between both groups.Results:Compared with the control group,patients in the observation group had less post⁃abortion bleeding,shorter bleeding time and menstrual return time(P<0.05).The lower abdominal VAS scores decreased significantly in both groups after 3 d medication,and the VAS scores of the observation group were lower than those of the control group(P<0.05).After treatment,the uterine volume and the height of the uterine floor decreased,and the thickness of the endometrial increased significantly in both groups,and the changes were more obviou in the observation group(P<0.05).There were no adverse reaction in either group.Conclusion:The combination of Baogong Zhixue granule and ginger separated moxibustion can shorten the bleeding time after abortion,reduce the amount of bleeding,relieve the degree of lower abdominal distending pain,and promote the involution of uterus.

关 键 词：流产 葆宫止血颗粒 隔姜灸 流产后出血 子宫复旧 

分 类 号：R714.21[医药卫生—妇产科学]