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加味生化汤治疗人工流产术后患者的效果

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目的:观察加味生化汤治疗人工流产术后患者的效果.方法:选取 2022 年 6 月至 2023 年 6 月该院收治的 82 例早期人工流产患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 41 例.对照组给予常规西药治疗,观察组在对照组基础上联合加味生化汤治疗,比较两组临床疗效、临床指标(月经恢复时间、阴道出血量、阴道出血时间、子宫内膜厚度)水平、治疗前后中医证候积分及不良反应发生率.结果:观察组治疗总有效率为100.00%(41/41),高于对照组的85.37%(35/41),差异有统计学意义(P<0.05);观察组月经恢复时间、阴道出血时间均短于对照组,阴道出血量少于对照组,术后 2 周子宫内膜厚度高于对照组,差异均有统计学意义(P<0.05);治疗后,两组中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为4.88%(2/41),低于对照组的 19.51%(8/41),差异有统计学意义(P<0.05).结论:在常规西药治疗基础上给予加味生化汤治疗人工流产术后患者可提高治疗总有效率,改善临床指标水平,降低中医证候积分和不良反应发生率,效果优于单纯常规西药治疗.
Effects of modified Shenghua decoction in treatment of patients after induced abortion
Objective:To observe effects of modified Shenghua decoction in treatment of patients after induced abortion.Methods:A prospective study was conducted on 82 patients with early induced abortion admitted to the hospital from June 2022 to June 2023.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was treated with conventional western medicine,while the observation group was treated with modified Shenghua decoction on the basis of that of the control group.The clinical efficacy,the clinical indicators(menstrual recovery time,vaginal bleeding volume,vaginal bleeding time,endometrial thickness)levels,the TCM syndrome scores before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was 100.00%(41/41),which was higher than 85.37%(35/41)in the control group,and the difference was statistically significant(P<0.05).The menstrual recovery time,the vaginal bleeding time in the observation group were shorter than those in the control group,the vaginal bleeding volume was less than that in the control group,and the the endometrial thickness at 2 weeks after surgery of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the scores of TCM syndromes in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse reactions in the observation group was 4.88%(2/41),which was lower than 19.51%(8/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the conventional western medicine treatment,modified Shenghua decoction can improve the total effective rate of treatment,improve the levels of clinical indicators,and reduce the scores of TCM syndromes and the incidence of adverse reactions in the patients after induced abortion.Moreover,it is superior to single conventional western medicine treatment.

Modified Shenghua decoctionInduced abortionEndometrial thicknessTCM syndrome scoreAdverse reaction

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漳州市芗城中医院妇产科,福建 漳州 363000

加味生化汤 人工流产 子宫内膜厚度 中医证候积分 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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