缩宫汤治疗药物流产后蜕膜残留98例疗效观察.docVIP

缩宫汤治疗药物流产后蜕膜残留98例疗效观察 【摘要】目的观察缩宫汤对药物流产后蜕膜残留临床疗效。方法将186例药物流产后蜕膜残留患者随机分为2组。治疗组98例用缩宫汤治疗，对照组88例服用龙血竭胶囊治疗。均治疗5日后观察临床疗效、阴道出血时间、阴道出血量的情况。结果治疗组总有效率92.86%,对照组总有效率70.45%,2组比较差异有统计学意义（P＜0.01）；2组阴道出血时间、阴道出血量情况比较差异均有统计学意义（P＜0.05，P＜0.01)。结论缩宫汤治疗药物流产后蜕膜残留疗效确切。 【关键词】 流产,人工；蜕膜；方法;缩宫汤;药用制剂；副作用 Observation of Suogong decoction on patients with rudimental decidua after medical abortion WU Zhaoxia Jinshan Branch Hospital of Shanghai Municipal Sixth Peoples Hospital, Shanghai 201500 【Abstract】 Objective To observe the therapeutic effect of Suogong decoction on patients with rudimental decidua after medical abortion.Methods 186 patients with rudimental decidua after medical abortion were randomly divided into two groups. 98 patients in the treatment group were administrated with Suogong decoction; 88 patients in the control group were given Longxuejie capsual. The therapeutic effect, the time and amount of vaginal bleeding were observed in 5 days in both groups. Results The total effective rate was 92.86% in the treatment group and 70.45% in the control group,and there was a significant difference between the two groups (P0.01). There was also difference in the time and amount of vaginal bleeding between the two groups (P0.05，P0.01). Conclusion The Suogong decoction has a definite effect on rudimental decidua after medical abortion. 【Key words】Suogong decoction; Medical abortion.; Rudimental decidua; Therapeutic effect 口服米非司酮配伍米索前列醇终止早孕目前已被临床广泛应用，较之人工流产具有安全、简便、对子宫创伤小等优点，然而它最大的缺点就是孕囊排出后阴道出血量较多，药流后蜕膜残留而致阴道出血时间延长而需要再刮宫，影响服药者的身体健康，给患者带来了痛苦。2000-02mdash;2005-12，笔者运用缩宫汤治疗药物流产后蜕膜残留98例，并与龙血竭胶囊治疗88例对照观察，现报告如下。 1 资料与方法 1.1 一般资料 全部186例均为本院中医妇科门诊患者，随机分为2组。治疗组98例，年龄最小18岁，最大43岁；第1次药物流产59例，第2次流产26 例，2次以上流产13例。对照组88例，年龄最小19岁，最大42岁；第1次药物流产58例，第2次流产20 例，2次以上流产10例。2组病例一般资料比较差异无统计学意义（P＞0.05），具有可比性。 1.2 纳入病例标准 药物流产均服用米非司酮及米索前列醇，孕囊已排出，出血时间ge;7日，超声波宫腔内有散在强光点或斑块状回声，血常规及白带常规正常。排除妇科器质性病变及宫内放置节育器致阴道出血。 1.3 治疗方法 1.3.1 治疗组 予缩宫汤。药物组成：紫草30 g,马齿苋30 g,当归10 g,桃仁10 g,蒲黄炭10 g,赤芍药15 g,枳壳10 g,刘寄奴15 g。气虚乏力、面色萎黄加黄芪15 g、党参