宫外孕Ⅱ号方联合针灸在药物流产中应用效果.docVIP

宫外孕Ⅱ号方联合针灸在药物流产中应用效果 　　[摘要] 目的 探讨宫外孕Ⅱ号方联合针灸在药物流产中的应用效果。 方法 选择2014年1月～2015年1月在我院进行药物流产的孕妇100例进行研究，将其随机分为观察组和对照组，每组50例。观察组给予宫外孕Ⅱ号方配针灸与米非司酮配伍米索前列醇治疗；对照组单用米非司酮配伍前列醇治疗。观察两组阴道出血量，孕囊排出率，完全流产率。 结果 观察患者清宫率为6%（3/50），失败率为4%（2/50）；对照组患者清宫率为14%（7/50），失败率为10%（5/50）；观察组孕囊排出率明显高于对照组（P200 ml的占4%，对照组出血≤100 ml的占20%，200 ml的占40%，两组比较差异有统计学意义（P0.05）。观察组完全流产率为90%，对照组为76%，两组比较差异有统计学意义（P0.05）。 结论 药物流产中应用中药宫外孕Ⅱ号方配针灸能减少阴道出血量，提高孕囊排出率，降低不全流产的发生率，临床应用价值较高，可推广应用。 　　[关键词] 宫外孕Ⅱ号方；针灸；药物流产 　　[中图分类号] R169.42 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0106-03 　　[Abstract] Objective To explore the application effect of ectopic pregnancyⅡcombined with acupuncture and moxibustion in medical abortion. Methods 100 pregnancy，conducted medical abortion，from January 2014 to January 2015 of our hospital were selected.Patients were randomly divided into observation group and control group and each group was 50 cases.Patients in observation group were given ectopic pregnancy Ⅱ combined with acupuncture and moxibustion.Patients in control group were only given mifepristone combined with misoprostol.Copious vaginal bleeding，gestational sac discharge rate and complete abortion rate were observed. Results The clearance rate of uterus and failure rate in observation group was respectively 6%（3/50） and 4%（2/50），which was respectively 14%（7/50）and 10%（5/50）in control group.The gestational sac discharge rate of observation group was obvious higher than that of control group（P0.05）.There were 72% patients whose copious vaginal bleeding less than 100 ml and only 4% patients more than 200 ml，which was respectively 20% and 40% in control group，and the difference was statistical significance（P0.05）.The complete abortion rate in observation group was 90%，which was 76% in control group，and the difference was statistical significance（P0.05）. Conclusion Ectopic pregnancy Ⅱ combined with acupuncture and moxibustion in medical abortion can reduce copious vaginal bleeding，shorten pregnancy sac discharge time and reduce complete abor