首页|金凤丸联合屈螺酮炔雌醇片对人工流产术后子宫内膜修复及血流动力学的影响

金凤丸联合屈螺酮炔雌醇片对人工流产术后子宫内膜修复及血流动力学的影响

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目的 分析金凤丸联合屈螺酮炔雌醇片对人工流产患者术后子宫内膜修复和血流动力学的影响.方法 选取2021年7月至2022年7月于赣州市人民医院进行人工流产术的106例患者作为研究对象,采用随机数字表法分为对照组和观察组,每组53例.对照组术后应用屈螺酮炔雌醇片治疗,观察组术后应用屈螺酮炔雌醇片联合金凤丸治疗,比较两组患者的疗效、中医证候积分、子宫内膜厚度及血流动力学等指标.结果 观察组患者治疗后各项中医证候积分低于对照组(P<0.05),观察组患者的临床总有效率高于对照组(P<0.05).观察组患者的术后阴道出血时间及术后首次月经时间短于对照组,术后阴道出血量少于对照组(P<0.05).观察组患者治疗后的子宫动脉搏动指数、阻力指数低于对照组,舒张末期血流速度、收缩期峰速度高于对照组,子宫内膜厚度大于对照组(P<0.05).观察组患者的术后并发症总发生率低于对照组(P<0.05).结论 人工流产患者术后联合应用金凤丸、屈螺酮炔雌醇片治疗可有效修复子宫内膜,促进血流动力学改善,减少并发症.
Effect of Jinfeng pills combined with drospirenone and ethinylestradiol tablets on endometrial repair and hemodynamics after artificial abortion
Objective To analyze effects of Jinfeng pills combined with drospirenone and ethinylestradiol tablets on endometrial repair and hemodynamics in patients after artificial abortion.Methods A total of 106 patients who underwent artificial abortion in Ganzhou People's Hospital from July 2021 to July 2022 were selected.The patients were divided into Control group and observation group by a random number table method,53 cases in each group.Control group was treated with drospirenone and ethinylestradiol tablets after operation,and observation group was treated with drospirenone and ethinylestradiol tablets combined with Jinfeng pills after operation.The curative effect,traditional Chinese medicine(TCM)syndrome score,endometrial thickness and hemodynamics index were compared between two groups.Results After treatment,scores of TCM syndromes in observation group were lower than those in control group(P<0.05).The total effective rate of observation group was higher than that of control group(P<0.05).The postoperative vaginal bleeding time and the first menstrual time in observation group were shorter than those in control group,and postoperative vaginal bleeding volume was less than that in control group(P<0.05).After treatment,uterine artery pulsatility index and resistance index in observation group were lower than those in control group,end-diastolic blood flow velocity and peak systolic velocity were higher than those in control group,and endometrial thickness was greater than that in control group(P<0.05).The total incidence of postoperative complications in observation group was lower than that in control group(P<0.05).Conclusion Jinfeng pills combined with drospirenone and ethinylestradiol tablets can effectively repair endometrium,promote hemodynamic improvement and reduce complications in patients with artificial abortion after operation.

Jinfeng pillsDrospirenone and ethinylestradiol tabletsArtificial abortionEndometrial repair

金峰、韩贤华、张春年、何文姬

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赣州市人民医院妇科,江西赣州 341000

赣南医科大学基础医学院,江西赣州 341000

金凤丸 屈螺酮炔雌醇片 人工流产术 子宫内膜修复

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(35)