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益母草注射液对早期人工流产术后出血的疗效

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目的 探讨益母草注射液对早期人工流产术后出血的疗效。方法 选取 2020 年 6 月至 2022 年 1 月商丘市第四人民医院收治的早期人工流产术后出血患者共计 82 例,根据随机数字表法分成研究组(n=41)与对照组(n=41),对照组采用米非司酮治疗,研究组采用益母草注射液联合米非司酮治疗,对两组临床疗效、术后指标、血流动力学、血清炎症因子水平及并发症进行比较。结果 研究组治疗有效率(90。24%)较对照组(70。73%)更高,差异有统计学意义(P<0。05);研究组较对照组出血量更少,出血时间及月经来潮时间更短,子宫内膜厚度更厚,差异均有统计学意义(P<0。05);两组治疗后阻力指数(RI)、搏动指数(PI)较治疗前比较均降低,收缩期峰值流速(Vmax)较治疗前比较均升高,差异均有统计学差异(P<0。05),研究组较对照组RI、PI更低,Vmax更高,差异均有统计学意义(P<0。05);两组治疗后γ-干扰素(INF-γ)、肿瘤坏死因子-α(TNF-α)、白细胞介素-2(IL-2)均降低,且研究组较对照组更低,差异均有统计学意义(P<0。05);研究组并发症发生率(9。76%)较对照组(29。27%)更低,差异有统计学意义(P<0。05)。结论 早期人工流产术后出血患者采用益母草注射液联合米非司酮治疗,可提高临床疗效,改善术后指标及血流动力学,调节血清炎症因子,减少并发症的发生。
The therapeutic Effect of Motherwort Injection on postoperative Bleeding in early induced Abortion
Objective To explore the therapeutic effect of motherwort injection on postoperative bleeding in early induced abortion.Methods A total of 82 patients with postoperative bleeding after early induced abortion admitted to the Fourth People's Hospital of Shangqiu City from June 2020 to January 2022 were selected.They were randomly divided into study group(n=41)and control group(n=41)using a random number table method.The control group was treated with mifepristone,while the study group was treated with motherwort injection combined with mifepristone.The clinical efficacy,postoperative indicators,hemodynamics,levels of serum inflammatory factors and complications were compared.Results The effective rate of treatment in the study group(90.24%)was higher than that in the control group(70.73%),and the difference was statistically significant(P<0.05);Compared with the control group,the study group had less bleeding,shorter bleeding time and menarche time,thicker endometrial thickness,the difference was statistically significant(P<0.05);After treatment,the resistance index(RI)and pulsatility index(PI)of the two groups decreased compared to before treatment,while the peak systolic flow velocity(Vmax)increased compared to before treatment,with statistical differences(P<0.05).The study group had lower RI and PI compared to the control group,and higher Vmax,with statistical significance(P<0.05);After treatment of two groups,The levels of γ-Interferon(INF-γ),tumor necrosis factor-α(TNF-α)and interleukin-2(IL-2)were all reduced,and the study group was lower than the control group,with statistically significant differences(P<0.05);The incidence of complications in the study group(9.76%)was lower than that in the control group(29.27%),and the difference was statistically significant(P<0.05).Conclusion The combination of motherwort injection and mifepristone can improve clinical efficacy,postoperative indicators and hemodynamics,regulate serum inflammatory factors,and reduce the incidence of complications in patients with postoperative bleeding after early induced abortion.

motherwort injectionmifepristoneearly induced abortion surgerybleedingcurative effect

马静、张丽伟

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商丘市第四人民医院 妇产科,河南 商丘 476000

益母草注射液 米非司酮 早期人工流产术 出血 疗效

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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