生化汤联合西医常规治疗药物流产后阴道出血临床研究
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R719.3+1

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Clinical Study on Shenghua Tang Combined with Routine Western Medicine for Vaginal Bleeding After Medicinal Abortion
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    摘要:

    目的:观察生化汤联合西医常规治疗药物流产后阴道出血的临床疗效。方法:将100 例药物流产后阴道出血患者按随机数字表法分为研究组与对照组各50 例。对照组采用米非司酮联合米索前列醇治疗,研究组在对照组的基础上给予生化汤治疗。观察2 组临床疗效,记录阴道出血量、阴道流血时间,于治疗前后对匹兹堡睡眠质量指数(PSQI) 和健康调查量表(SF-36) 进行评分。结果:研究组总有效率为96.00%,对照组为82.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,研究组阴道出血量少于对照组,流血时间短于对照组,差异均有统计学意义(P<0.05)。治疗前,2 组PSQI 量表中入睡质量、入睡时间、入睡效率评分及总分比较,差异无统计学意义(P>0.05);治疗后,2 组上述各项评分均较治疗前明显降低(P<0.05),且研究组上述各项评分均低于对照组(P<0.05)。治疗前,2 组SF-36 量表中健康状况、社会功能、生理职能、精神健康、精力等评分比较,差异均无统计学意义(P>0.05);治疗后,2 组上述各项评分均较治疗前明显升高(P<0.05),且研究组上述各项评分均高于对照组(P<0.05)。结论:对药物流产后阴道出血患者采用生化汤联合西医常规治疗,可显著减少出血量及出血时间,改善患者睡眠质量与生活质量,疗效显著。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Shenghua tang combined with routine western medicine for patients with vaginal bleeding after medicinal abortion. Methods: A total of 100 cases of patients with vaginal bleeding after medicinal abortion were divided into the study group and the control group according to the random number table method,with 50 cases in each group. The control group was treated with mifepristone combined with misoprostol, and the study group was additionally treated with Shenghua tang based on the treatment of the control group. The clinical effects in the two groups were observed;the amount of vaginal bleeding and the duration of vaginal bleeding were recorded. Before and after treatment,Pittsburgh Sleep Quality Index(PSQI) and 36-Item Short Form Health Survey(SF-36) were used to evaluate. Results:The total effective rate was 96.00% in the study group and 82.00% in the control group, the difference being significant(P<0.05). After treatment, the amount of vaginal bleeding in the study group was less than that in the control group,and the bleeding time was shorter,differences being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of sleep quality, time for falling asleep and sleep efficiency in PSQI scale as well as the total scores between the two groups(P>0.05). After treatment, the above scores in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the above scores in the study group were lower than those in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of the scores of health status, social function, physiological function,mental health and energy in SF- 36 scale between the two groups(P>0.05). After treatment, the above scores in the two groups were significantly increased when compared with those before treatment(P<0.05),and the above scores in the study group were higher than those in the control group(P<0.05). Conclusion: The therapy of Shenghua tang combined with routine western medicine for patients with vaginal bleeding after medicinal abortion can significantly reduce the amount of bleeding and bleeding time,and improve sleep quality and quality of life,with a significant curative effect.

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王瑶.生化汤联合西医常规治疗药物流产后阴道出血临床研究[J].新中医,2022,54(16):28-31

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  • 在线发布日期: 2022-08-28
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