脱花煎加减在稽留流产中的应用研究

Study on the Application of Tuo Huajian Addition and Subtraction in Missed Abortion

为分析在稽留流产中采用脱花煎加减治疗的临床效果。从2019年6月—2022年6月罗甸县中医医院收治的稽留流产患者中抽取94例作为研究对象,按照数字随机法将其分为对照组和观察组,每组47例患者,其中,对照组采用米非司酮+米索前列醇西药治疗,观察组在此基础上增加脱花煎加减治疗。统计两组临床疗效、排胎情况、月经恢复情况,对比两组患者治疗前后中医证候积分。结果显示,观察组治疗后中医症候积分较治疗前下降且低于对照组(P<0.05);观察组治疗总有效率为95.74%,高于对照组的82.98%(P<0.05);观察组孕囊排出时间、阴道出血时间均短于对照组(P<0.05);观察组出血量、宫内残余组织量少于对照组(P<0.05);出院后1个月,观察组月经恢复率为74.47%,高于对照组的53.19%(P<0.05)。研究发现,在稽留流产患者中加用脱花煎进行治疗可获得确切的临床效果,该疗法可以改善阴道出血等临床症状,加快排胎速度,缩短月经恢复时间。

In order to analyze the clinical effect of the addition and subtraction treatment of Tuo Huajian in missed abortion,94 patients with missed abortion were selected from Luodian Country Chinese Medicine Hospital of Guizhou Province from June 2019 to June 2022 as research objects,and were divided into a control group and an observation group according to the digital random method,with 47 patients in each group.The control group was treated with mifepristone+Misoprostol,and the observation group added the addition and subtraction treatment of Tuo Huajian on this basis.Calculate the clinical efficacy,ovulation status,and menstrual recovery of two groups of patients,and compare their TCM syndrome scores before and after treatment.The results showed that after treatment,the integral of traditional Chinese medicine symptoms in the observation group decreased compared to before treatment and was lower than that in the control group(P<0.05);The total effective rate of the observation group was 95.74%,which was higher than 82.98%in the control group(P<0.05);The observation group had shorter gestational sac discharge time and vaginal bleeding time than the control group(P<0.05);The amount of bleeding and residual tissue in the uterus in the observation group was lower than that in the control group(P<0.05);One month after discharge,the menstrual recovery rate in the observation group was 74.47%,higher than 53.19%in the control group(P<0.05).Research has found that adding Tuo Huajian to the treatment of missed miscarriage patients can achieve definite clinical results,improve clinical symptoms such as vaginal bleeding,accelerate ovulation speed,and shorten menstrual recovery time.