药物流产后口服妇康丸的临床疗效观察

Clinical effect of oral administration of Fukang pill after medical abortion

目的观察药物流产后口服妇康丸治疗阴道出血的临床疗效。方法将2016年6月至2017年5月期间在河南省人民医院接受药物流产的96例患者纳入本次研究,采用抽签法将96例患者随机分为研究组和对照组,孕囊排出后6h内研究组患者给予口服妇康丸,对照组患者不用药,观察病情,选取观察指标,评价两组患者的临床疗效。结果研究组患者的完全流产率为89.58%,阴道少量出血率为72.92%,阴道出血时间为(7.06±1.01)d,对照组患者的完全流产率为75.00%,阴道少量出血率为41.67%,阴道出血时间为(12.14±1.20)d,两组上述指标比较差异均有统计学意义(χ~2/t值分别为4.262、9.519、14.484,均P<0.05)。对两组患者进行为期2个月的随访,研究组患者的药物流产并发症发生率为4.16%,低于对照组患者的18.75%,差异有统计学意义(χ~2=4.419,P<0.05)。结论药物流产后口服妇康丸,能够促进子宫复旧,有效缩短患者阴道出血时间,并能预防药物流产并发症。

Objective To observe the clinical effect of oral administration of Fukang pill on vaginal bleeding after medical abortion. Methods Ninety-six patients who received medical abortion in People＇s Hospital of Henan Province from June 2016 to May 2017 were included in the study, and they were randomly divided into study group and control group. Within 6 hours after discharge, the patients in the study group were treated with oral administration of Fukang pill and those in the control group were not treated with drugs. The condition was observed and the observation indexes were selected to evaluate the clinical curative effect of two groups. Results The complete abortion rate was 89.58X, the vaginal bleeding rate was 72.92%, and the vaginal bleeding time was 7.06 ± 1.01d in the study group, while those were 75.00%, 41.67% and 12.14±1.20d, respectively in the control group. The differences in the above indexes between two groups were significant （χ^2 value was 4.262 and 9.519, t=14.484, all P〈0.05）. During the 2- month follow-up, the incidence of complications in the study group was 4.16G, which was lower than that of 18.75G in the control group （χ^2= 4. 419, P〈0.05）. Conclusion Oral administration of Fukang pill after medical abortion can promote uterine contraction, effectively shorten vaginal bleeding time and prevent medical abortion complications.