摘要
目的探讨加味生化汤序贯治疗对无痛人流术后子宫修复的影响。方法选取就诊于江苏省中西医结合医院妇产科行无痛人流术患者300例,随机分为3组,各100例。对照组予预防感染治疗,西药组在对照组基础上予雌二醇片/雌二醇地屈孕酮片治疗,中药组在对照组基础上予加味生化汤治疗。比较3组术后阴道出血量及时间、首次月经复潮时间、子宫内膜厚度,并记录各组术后并发症及不良反应。结果中药组在控制阴道出血量、出血持续时间及首次月经复潮时间优于其他2组,差异有统计学意义(P<0.05)。术后3周时,中药组和西药组在改善子宫内膜厚度优于对照组,差异有统计学意义(P<0.05)。对照组、西药组和中药组的术后并发症发生率分别为9.0%、2.0%、1.0%。西药组共7例出现不良事件反应,而中药组和对照组无不良反应发生。结论加味生化汤可以减少无痛人流术后出血时间及出血量,促进子宫修复、月经按期复潮,降低术后并发症,且安全性好。
Objective To explore the effect of sequential treatment with modified Shenghua decoction on uterine repair after painless induced abortion.Methods 300 patients who underwent painless induced abortion in Jiangsu Province Hospital of Integrate Traditional Chinese and Western Medicine from January 2019 to December 2020 were randomly divided into three groups.The control group was given routine anti-infection treatment,the western medicine group was given oral estradiol tablets/estradiol-progesterone tablets on the basis of the control group,and the traditional Chinese medicine group was given sequential treatment of modified Shenghua decoction on the basis of the control group.The amount and time of vaginal bleeding,the time of first menstrual resurgence and endometrial thickness were compared among the three groups,and the occurrence of postoperative complications and possible adverse reactions were recorded.Results The traditional Chinese medicine group was superior to the other two groups in controlling vaginal bleeding volume,bleeding duration and first menstrual resurgence time,and there had statistical difference(P<0.05).Three weeks after operation,the endometrial thickness of traditional Chinese medicine group and western medicine group was significantly better than that of control group(P<0.05).However,there was no significant difference between Chinese medicine group and western medicine group.The total incidence of postoperative complications in the control group was about 9.0%,that in the western medicine group was about 2.0%,and that in the Chinese medicine group was about 1.0%.Adverse events occurred in 7 cases in the western medicine group,but no adverse reactions occurred in the traditional Chinese medicine group and the control group.Conclusion Sequential treatment with modified Shenghua decoction can reduce bleeding time and amount after painless induced abortion,promote uterine repair,restore menstruation on schedule,and reduce postoperative complications.It is safe and worthy of clinical application.
作者
李杏杏
张蕾
叶海燕
张丽华
LI Xingxing;ZHANG Lei;YE Haiyan;ZHANG Lihua(Department of Obstetrics and Gynecology,Jiangsu Province Hospital of Integrate Traditional Chinese and Western Medicine,Jiangsu Province,Nanjing 210000,China;Department of Obstetrics and Gynecology,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing 210000,China)
出处
《中国中医药现代远程教育》
2022年第3期89-91,共3页
Chinese Medicine Modern Distance Education of China
关键词
加味生化汤
月经过少
无痛人流术后
序贯治疗
子宫修复
modified Shenghua decoction
hypomenorrhea
painless abortion
sequential treatment
uterine repair
