首页|雷火灸联合屈螺酮炔雌醇片对人工流产术后子宫内膜修复功能的影响

雷火灸联合屈螺酮炔雌醇片对人工流产术后子宫内膜修复功能的影响

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目的:观察雷火灸联合屈螺酮炔雌醇片对人工流产术后子宫内膜修复功能的影响.方法:将120 例行人工流产术终止妊娠的女性按照随机数字表法分为治疗组和对照组,每组各60 例.对照组口服屈螺酮炔雌醇片治疗,治疗组在对照组治疗的基础上联合雷火灸.比较两组患者的临床疗效及治疗前后中医证候积分(腰骶部或下腹部冷痛、面色萎黄、阴道出血、肢倦神疲)、阴道出血时间、出血量、性激素水平[人绒毛膜促性腺激素(human chorionic gonadotropin,HCG)、孕酮(progesterone,P)、雌二醇(estradiol,E2)]变化情况,测量两组患者术第1 次月经复潮后子宫内膜厚度.结果:两组患者治疗后腰骶部或下腹部冷痛、面色萎黄、阴道出血、肢倦神疲等中医证候积分低于本组治疗前,且治疗后治疗组低于对照组(P<0.05).治疗组阴道出血时间和出血量均低于对照组(P<0.05).两组患者治疗后HCG、P、E2 水平低于本组治疗前,且治疗后治疗组低于对照组(P<0.05).治疗组术后第1 次月经复潮后子宫内膜厚度大于对照组(P<0.05).治疗组有效率为91.7%,对照组有效率为73.3%,治疗组有效率高于对照组(P<0.05).结论:雷火灸联合屈螺酮炔雌醇片能够显著改善人工流产术后疼痛程度,缩短出血时间,减少出血量症状,调节生殖性激素水平,促进子宫内膜修复与生长.
The Influence of Thunder-Fire Moxibustion Combined with Drospirenone Ethinylestradiol Tablets on Endometrial Repair Function After Induced Abortion
Objective:To observe the influence of thunder-fire moxibustion combined with Drospirenone Ethinylestradiol Tablets on endo-metrial repair function after induced abortion.Methods:A total of 120 women who underwent induced abortion to terminate pregnancy were divided into the treatment group and the control group according to the random number table method,with 60 cases in each group.The control group was treated with Drospirenone Ethinylestradiol Tablets for oral administration,while the treatment group was combined with thunder-fire moxibustion on the basis of the treatment of the control group.The clinical efficacy and the changes in TCM syndrome scores(including lumbosacral or lower abdominal cold pain,pale complexion,vaginal bleeding,fatigue),vaginal bleeding time,bleeding volume,sex hormone levels[including human chorionic gonadotropin(HCG),progesterone(P),estradiol(E2)]before and after treatment were compared between the two groups.The endometrial thickness of the first menstruation of the two groups was also meas-ured.Results:After treatment,the TCM syndrome scores,such as lumbosacral or lower abdominal cold pain,pale complexion,vaginal bleeding,fatigue,etc.were lower than those before treatment,and the treatment group's scores were lower than those of the control group(P<0.05);the vaginal bleeding time and bleeding volume of the treatment group were lower than those of the control group(P<0.05);the HCG,P,E2 of the two groups were lower than those before treatment,and the treatment group's levels were lower than those of the control group(P<0.05);the endometrial thickness of the first menstruation after the operation in the treatment group was grea-ter than that in the control group(P<0.05).The effective rate of the treatment group was91.7%,while that of the control group was 73.3%,and the effective rate of the treatment group was higher than that of the control group(P<0.05).Conclusion:Thunder-fire moxibustion combined with Drospirenone Ethinylestradiol Tablets can significantly release pain and bleeding symptoms after induced a-bortion,regulate the levels of reproductive hormones,and promote the repair and growth of endometrium.

induced abortionthunder-fire moxibustionDrospirenone Ethinylestradiol Tabletsendometrial repair

廖小花、朱腾远、徐敏娟

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崇义县妇幼保健院,江西 崇义 341300

赣州市第一人民医院,江西 赣州 341300

人工流产术 雷火灸 屈螺酮炔雌醇片 子宫内膜修复

江西省赣州市指导性科技计划(2023)

GZ2023ZSF394

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(5)
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