裘氏仿滑血饮联合穴位恒温灸辅助药物流产临床研究
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R714.21

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浙江省中医药科技计划项目(2020ZB071)


Clinical Study on QIU's Fang Huaxue Yin Combined with Constant Temperature Moxibustion at Acupoints Assisting Medication Abortion
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    摘要:

    目的:观察裘氏仿滑血饮联合穴位恒温灸(简称裘氏经验) 辅助药物流产的临床疗效。方法:选取进行药物流产的患者,共128 例,随机分为2 组。对照组59 例予常规药物流产方案。中药组69 例于对照组常规药物流产方案的基础上于当日使用神阙穴恒温灸,次日起口服裘氏仿滑血饮,每天1 剂,连用7 天。观察比较2 组药物流产孕囊排出间隔、出血总评分、出血时间、月经复潮时间,以及流产成功率、清宫率及不良反应发生率、观察期间排出孕囊比例。结果:2 组观察期间孕囊排出率比较,差异无统计学意义(P>0.05);2 组药物流产成功率比较,差异有统计学意义(P<0.05);2 组不良反应症状腹痛发生率比较,差异有统计学意义(P<0.05);不良反应症状恶心、呕吐、眩晕、头痛发生率分别比较,差异均无统计学意义(P>0.05)。2 组药物流产孕囊排出间隔时间比较,差异无统计学意义(P>0.05);2 组阴道出血时间、出血量总评分及月经复潮时间分别比较,差异均有统计学意义(P<0.05,P<0.01)。结论:裘氏经验可缓解患者腹痛反应,增加药物流产成功率,减少出血量,缩短药物流产后出血时间及月经复潮时间。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of QIU's fang huaxue yin combined with constant temperature moxibustion at acupoints, QIU's experience for short, assisting medication abortion. Methods: A total of 128 patients who received medication abortion were randomly divided into two groups. A total of 59 cases in the control group were treated with routine medication abortion schedule. Based on the treatment of the control group,a total of 69 cases in the Chinese medicine group were treated with constant temperature moxibustion at Shenque point(CV8) on the day receiving the routine medication abortion schedule,and were treated with oral administration of QIU's Fanghuaxue yin in the following seven days,with one dose per day. The interval time of excretion of gestational sac,total score of bleeding,duration of bleeding, time of menses recovery, success rate of abortion, curettage rate and incidence of adverse reactions were observed and compared between the two groups. Results:During the observation,there was no significant difference being found in the comparison of gestational sac excretion rates between the two groups(P>0.05);the difference in the success rate of medication abortion between the two groups was significant(P>0.05);the difference in the incidence of abdominal pain in adverse reactions between the two groups was significant(P<0.05);there was no significant difference being found in the comparisons of incidence of nausea,vomiting,vertigo and headache in adverse reactions between the two groups(P> 0.05). There was no significant difference being found in the comparison of excretion time of gestational sac between the two groups(P>0.05); the differences in the duration of vaginal bleeding, total score of bleeding and time of menses recovery between the two groups were significant(P<0.05,P<0.01). Conclusion:QIU' s experience can alleviate the abdominal pain responses of patients,increase the success rate of medication abortion,reduce the amount of bleeding,and shorten the duration of bleeding after medication abortion and time of menses recovery.

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蒋军,张婷,胡昀昀,窦晓青,徐勇刚,蒋学禄.裘氏仿滑血饮联合穴位恒温灸辅助药物流产临床研究[J].新中医,2022,54(12):143-146

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  • 在线发布日期: 2022-06-22
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