补肾活血调经汤治疗人工流产术后月经过少临床分析

Clinical analysis of “Bushen Huoxue Tiaojing Decoction”in the treatment of hypomenorrhea after artificial abortion

目的观察补肾活血调经汤治疗人工流产术后月经过少的临床疗效。方法将90例人工流产术后月经过少患者随机分为观察组和对照组(各45例),分别给予补肾活血调经汤和八珍益母丸治疗,疗程为3个月经周期。观察两组临床疗效及治疗前后子宫内膜厚度、激素水平和随访1年的复发情况。结果①观察组总有效率为95.56%,对照组为62.22%;观察组疗效显著优于对照组(P<0.05)。②治疗后两组患者子宫内膜均较治疗前明显增厚(P<0.05),且观察组子宫内膜厚于对照组(P<0.05)。③治疗后观察组FSH、LH及E_2水平均较治疗前明显升高(P<0.05),PRL水平明显降低(P<0.05);治疗后观察组各项激素水平改善均优于对照组(P<0.05)。结论补肾活血调经汤可改善激素水平和增厚子宫内膜以治疗人工流产术后月经过少。

Objective To observe the clinical efficacy of ＂BushenHuoxue Tiaojing Decoction＂ in the treatment of hypomenorrhea after artificial abortion. Methods Ninety patients were divided into observation group and control grouprandomly（45 cases in each group） , and treated with ＂Bushen Huoxue Tiaojing Decoction＂ and ＂Bazhen Yimu Granule＂ for three menstrual cyclesrespectively. Theclinical efficacy, endometrial thickness and hormone level before and after treatment and recurrence within follow-upone-year were observed. Results ①The total effective rate was 95.56% in the observation group and 62.22% in the control group ; which the clinical effieaeyof the observation group was better than the control group （ P 〈 0.05 ）. ②After treatment, the thickness of the endometriaincreased in both groups （P 〈 0.05 ） , and the change was more significant in the observation group than the control group （P 〈 0.05 ）. ③After treatment, the levels of FSH, LH and E2signifieantly increased and the level of PRL significantly decreased in the observation group（P 〈 0. 05）; the hormones level were improved more significantly in the observation group than in the control group（ P 〈 0.05 ）. Conclusion ＂Bushen Huoxue Tiaojing Decoction＂ could be used in the treatment of hypomenorrhea after artificial abortion by improving hormones level and increasing endometrial thickness.