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目的探讨中药排膜汤用于药物流产后出血的疗效。方法将189例药流已排出胎囊者随机分成3组,除空白对照组外,分别服用中药排膜汤及肌注催产素。观察药流后出血时间及出血量,并于7d、14 d时行B超检查监测宫腔情况。结果中药组的出血时间、出血量与催产素组比较差异无统计学意义,均明显低于对照组(P<0.01),14天B超监测宫腔图像正常者中药组均高于催产素组及对照组(P<0.01)。结论中药排膜汤有利于药流后蜕膜组织的排出,可显著缩短出血时间,减少出血量,减少清宫人数,值得临床推广。
Objective To investigate the curative effect of traditional Chinese medicine draining soup for bleeding after medical abortion. Methods 189 cases of drug flow has been discharged from the sac were randomly divided into 3 groups, except for the blank control group, respectively, taking traditional Chinese medicine film and oxytocin. The bleeding time and bleeding volume after medical abortion were observed. On the 7th and 14th days, the B-mode ultrasonography was performed to monitor the uterine cavity status. Results There was no significant difference in the bleeding time and the amount of bleeding among the traditional Chinese medicine group and oxytocin group, which were significantly lower than those in the control group (P <0.01). On the 14th day, the Chinese medicine group with normal uterine cavity image was higher than the oxytocin group And control group (P <0.01). Conclusion Traditional Chinese medicine draining soup is beneficial to the excretion of decidua after medical abortion, can significantly shorten the bleeding time, reduce the amount of bleeding, reduce the number of Qing, worthy of clinical promotion.