论文部分内容阅读
目的:观察生化汤对药物流产后宫腔残留物的影响。方法:80例自愿要求药物流产后有宫腔残留物的患者随机分为治疗组40例,对照组40例,患者的治疗方法为服用米非司酮总量150 mg2天,第3天晨6点服米索前列醇600μg,应用米索前列醇后6 h观察排出物并记录出血量。孕囊排出后,治疗组患者开始服生化汤,每天1剂,煎好后分3次服,连服5 d,对照组患者每次服益母草膏15 g,3次/d,连服5 d。结果:治疗组患者完全流产率为97.50%,对照组患者完全流产率72.50%,差异具有统计学意义(χ2=9.009,P=0.002);药物流产后宫腔有残留物的患者的阴道出血量(χ2=21.186,P=0.000)及出血持续时间(χ2=45.241,P=0.000),治疗组优于对照组。结论:生化汤可减少药物流产后有宫腔残留物的患者的阴道出血量,缩短出血时间,值得临床推广应用。
Objective: To observe the effect of Shenghua Decoction on uterine cavity residue after medical abortion. Methods: Eighty patients who voluntarily requested uterine cavity residue after medical abortion were randomly divided into treatment group (40 cases) and control group (40 cases). Patients were treated with 150 mg of mifepristone for two days and on the third day of morning 6 600 g of misoprostol was given on spot and the amount of bleeding was recorded 6 h after administration of misoprostol. After the gestational sac was drained, the patients in the treatment group started to take the biochemical soup once a day for three days after the decoction. After 5 days of decoction, the patients in the control group took 15 g of motherwort ointment once daily for 5 days . Results: The complete abortion rate was 97.50% in the treatment group and 72.50% in the control group. The difference was statistically significant (χ2 = 9.009, P = 0.002). The vaginal bleeding in patients with residual uterine cavity after medical abortion (χ2 = 21.186, P = 0.000) and duration of bleeding (χ2 = 45.241, P = 0.000). The treatment group was better than the control group. Conclusion: Biochemical Decoction can reduce the amount of vaginal bleeding in patients with uterine cavity residue after medical abortion, and shorten the bleeding time, which is worthy of clinical application.