脱花加减汤治疗流产不全的临床观察

Clinical observation of Tuohua decoction in treatment of incomplete abortion after induced abortion

目的观察脱花加减汤治疗流产不全的疗效与安全性。方法将120例妊娠时间均在1~3个月内口服药物流产或人工流产后流产不全的患者随机分为治疗组及对照组各60例,治疗组给予口服脱花加减汤,对照组给予口服新生化颗粒,比较两组临床疗效。结果治疗后治疗组临床治疗成功率高达96.7%,明显性超过对照组的86.7%(P<0.05);治疗组阴道出血持续时间显著性少于对照组(P<0.05)。治疗组患者月经复潮时间、月经量变化及首次经期时间与对照组比较差异无统计学意义(P>0.05)。两组均有腹痛、恶心等轻微不良反应发生,差异无统计学意义(P>0.05)。结论水煎服脱花加减汤治疗不全流产疗效确切。

Objective To observe the clinical effect and safty of Tuohua decoction in treatment of incomplete abortion after induced abortion. Methods 120 patients with incomplete abortion after oral medication abortion or induced abortion admitted to our hospital whose pregnancy duration were 1 to 3 months were selected as research objects and all were randomly divided to two groups, 60 cases in each. The patients of control group were given Xinshenghua granule, and the patients of research group were given Tuohua decoction. The resuhs were compared. Results After corresponding treatment, success rate of clinical treatment in the research group was 96.7%, significantly higher than that of the control group 86.7%（P 〈 0.05）. Duration of vaginal bleeding of the research group was significantly shorter than that of the control group（P 〈 0.05）. There were no statistical differences in time for menstrual recovery, changes of menstrual amount and first menstrual period between two groups （P 〉 0.05）. After corresponding treatment, patients in two groups all had certain adverse reactions such as abdominal pain, nausea and so on, but there was no significant difference（P 〉 0.05）. Conclusion Tuohua decoction in treatment of incomplete abortion after induced abortion has a significant effect.