补血益母丸在异常子宫出血刮宫术后子宫恢复中的应用效果  

Application effect of Buxue Yimu Pills on uterine recovery after curettage of abnormal uterine bleeding

作　　者：赖慧超 魏荷花 肖娟 钟庆平 刘剑英 LAI Huichao;WEI Hehua;XIAO Juan;ZHONG Qingping;LIU Jianying(Department of Gynecology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院妇科,江西赣州341000

出　　处：《中国当代医药》2024年第34期51-54,59,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2021B272)。

摘　　要：目的探讨补血益母丸在异常子宫出血(AUB)刮宫术后子宫恢复中的应用效果。方法选取2021年7月至2022年12月于赣州市人民医院接受AUB刮宫术治疗的100例患者作为研究对象,采用随机数字表法将患者分为观察组和对照组,每组各50例。对照组患者术后常规预防感染,观察组在对照组方法的基础上加用补血益母丸。比较两组患者术后1年的临床疗效,治疗前后阴道流血情况、阴道彩超检查结果,记录患者术后宫腔粘连、腹痛的发生率。结果观察组的治疗总有效率为88.00%,高于对照组的72.00%,差异有统计学意义(P<0.05)。观察组的阴道出血控制时间短于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的月经周期短于对照组,阴道流血量少于对照组,血红蛋白(Hb)水平高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的子宫内膜厚度低于对照组,子宫平滑肌收缩幅度及收缩频率均高于对照组,差异有统计学意义(P<0.05)。术后,两组患者均出现宫腔粘连、腹痛等并发症,观察组的腹痛发生率、宫腔粘连发生率均低于对照组,差异有统计学意义(P<0.05)。结论补血益母丸可提高刮宫术治疗AUB的临床疗效,有效改善患者出血症状,促进子宫恢复,降低术后腹痛及宫腔粘连的发生率,值得临床推广与应用。Objective To investigate the application effect of Buxue Yimu Pills on uterine recovery after curettage of abnormal uterine bleeding(AUB).Methods A total of 100 patients who underwent curettage for AUB in the Ganzhou People's Hospital from July 2021 to December 2022 were selected as the research subjects,and they were divided into observation group and control group by random number table method,with 50 cases in each group.The control group was given routine prevention of postoperative infection,and the observation group was given Buxue Yimu Pills on the basis of the control group.The clinical effects at 1 year after operation,vaginal bleeding and vaginal color Doppler ultrasound examination results before and after treatment were compared between groups.The incidence rates of postoperative intrauterine adhesion and abdominal pain were recorded.Results The total treatment response rate in the observation group was 88.00%,which was higher than 72.00%in the control group,and the difference was statistically significant(P<0.05).The control time of vaginal bleeding in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the menstrual cycle of the observation group was shorter than that of the control group,the amount of vaginal bleeding was less than that of the control group,and the hemoglobin(Hb)level was higher than that of the control group,and the differences were statistically significant(P<0.05).After treatment,the endometrial thickness of the observation group was lower than that of the control group,and the contraction amplitude and contraction frequency of uterine smooth muscle were higher than those of the control group,and the differences were statistically significant(P<0.05).Postoperative complications such as intrauterine adhesion and abdominal pain occurred in both groups.The incidence rate of abdominal pain and the incidence rate of intrauterine adhesion in the observation group were lower than those in the control g

关 键 词：异常子宫出血 刮宫术 补血益母丸 阴道彩超 子宫功能 

分 类 号：R713.41[医药卫生—妇产科学]