加减生化汤辅助治疗早孕药物流产不全临床研究
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Clinical Study on Modified Shenghua Tang Assiting to Treat Incomplete Medical Abortion in Early Pregnancy
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    摘要:

    目的:观察加减生化汤辅助治疗早孕药物流产不全的临床疗效。方法:选择接受药物流产而流产不全者258 例,按随机数字表法分为治疗组(130 例) 与对照组(128 例)。2 组均行药物流产,对照组采取缩宫素联合肾上腺色腙片治疗,治疗组在对照组基础上采取加减生化汤辅助治疗,均连续治疗7 d。比较2 组临床疗效、气虚血瘀证症状积分、阴道出血时间、月经恢复时间及血清性激素水平。结果:治疗组总有效率为94.62%,高于对照组81.25%(P<0.05)。治疗后,2 组气虚血瘀证症状积分、β-绒毛膜促性腺激素(β-HCG) 均较治疗前降低(P<0.05),血清雌二醇(E2) 水平升高(P<0.05);治疗组治疗后气虚血瘀证症状积分、β-HCG 低于对照组(P<0.05),E2 水平高于对照组(P<0.05)。治疗组阴道出血时间短于对照组,月经恢复时间早于对照组(P<0.05)。结论:加减生化汤辅助治疗早孕药物流产不全疗效确切,能缩短患者阴道出血时间,调节性激素水平,促进机体恢复。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Shenghua tang assiting to treat incomplete medical abortion in early pregnancy. Methods: A total of 358 patients who had undergone medical abortion but with incomplete abortion were selected and divided into the treatment group(130 cases) and the control group(128 cases) according to random number table method. Both groups had undergone medical abortion;the control group was additionally treated with oxytocin combined with adrenal hydrazone tablets, and the treatment group was additionally treated with modified Shenghua tang based on the treatment of the control group. All patients were treated for seven days. The clinical effects,symptom scores of syndrome of qi deficiency and blood stasis,vaginal bleeding time,menstrual recovery time and levels of serum sex hormone were compared between the two groups. Results:The total effective rate was 94.62% in the treatment group,higher than that of 81.25% in the control group(P<0.05). After treatment,the symptom scores of syndrome of qi deficiency and blood stasis and levels of β- chorionic gonadotropin(β- HCG) in both groups were decreased when compared with those before treatment(P<0.05),and the levels of serum estradiol(E2) were increased(P<0.05). After treatment,the symptom score of syndrome of qi deficiency and blood stasis and the level of β-HCG in the treatment group were lower than those in the control group(P<0.05),and the level of E2 was higher(P<0.05). The vaginal bleeding time in the treatment group was shorter than that in the control group,and the menstrual recovery time was earlier(P<0.05). Conclusion:Modified Shenghua tang has a definite therapeutic effect on assiting to treat incomplete medical abortion in early pregnancy,which can shorten the time of vaginal bleeding,regulate the levels of sex hormone and promote body recovery.

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朱淑嫔,姚锐,蔡平生.加减生化汤辅助治疗早孕药物流产不全临床研究[J].新中医,2022,54(11):43-46

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  • 在线发布日期: 2022-06-10
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