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目的:探讨中西医结合治疗药物流产后组织物残留的临床疗效。方法:回顾分析2014年1-12月茂名市电白区妇幼保健院收治的120例早孕行药物流产后组织物残留患者的临床资料,随机将其分为对照组与治疗组,各60例。对照组采用西药补佳乐(戊酸雌二醇片)联合黄体酮胶丸治疗,治疗组在此基础上加用活血汤治疗。分析比较两组疗效、生活质量。结果:1治疗组总有效率为96.67%,对照组总有效率为80.00%,治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。2两组血清人绒毛膜促性腺激素β(β-HCG)水平均有所下降,但治疗组下降更为明显,组间差异有统计学意义(P<0.05)。3两组均未见肝肾损害及其他严重不良反应。结论:药物流产后组织物残留应用中西医结合治疗,疗效颇佳。
Objective: To explore the clinical efficacy of traditional Chinese and western medicine in treating post-abortion tissue residue. Methods: The clinical data of 120 cases of post-abortion tissue residue patients who were treated in Maoming Diba MCH from January to December 2014 were retrospectively analyzed. The patients were randomly divided into control group and treatment group, with 60 cases in each group. The control group was treated with western medicine norepinephrine (estradiol valerate) and progesterone capsules, and the treatment group was treated with Huoxue Decoction on the basis of this. Analysis and comparison of two groups efficacy, quality of life. Results: 1 The total effective rate was 96.67% in the treatment group and 80.00% in the control group. The total effective rate in the treatment group was higher than that in the control group (P <0.05). 2 serum levels of human chorionic gonadotropin β (β-HCG) decreased, but the treatment group decreased more significantly, the difference between the two groups was statistically significant (P <0.05). No liver and kidney damage and other serious adverse reactions were observed in both groups. Conclusion: After medical abortion tissue residue treated with Integrative Medicine, the effect is quite good.