妇科千金胶囊对人工流产后盆腔炎性疾病的预防作用

Preventive effect of Qianjin capsule on pelvic inflammatory disease after artificial abortion

目的探讨妇科千金胶囊对人工流产后盆腔炎性疾病的预防作用。方法收集本院2013年1月至2016年12月期间收治的194例人工流产患者,随机分为对照组与观察组各97例。对照组给予甲硝唑片(0.4g/次,3次/天)、新生化颗粒(9g/次,3次/天)口服。观察组给予妇科千金胶囊(0.8g/次,3次/天)口服。持续治疗15天后,比较两组盆腔炎性疾病发生率、不良反应发生率、人工流产术后恢复情况以及生活质量变化。结果对照组患者最低标准、附加标准及特意标准下盆腔炎性疾病发生率分别为13.40%、5.15%、8.25%,观察组分别为2.06%、0.00%、0.00%,观察组均显著低于对照组(P<0.05)。观察组不良反应发生率显著低于对照组(χ~2=4.084,P=0.043)。观察组患者阴道流血时间、月经恢复时间短于对照组,阴道流血量少于对照组,差异均具有统计学意义(P<0.05)。人工流产术后第1天,两组生活质量量表各项评分比较无显著差异(P>0.05);药物治疗第15天后,两组生活质量量表各项评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论妇科千金胶囊可以有效预防人工流产术后盆腔炎性疾病发生,促进炎症恢复,提高其生活质量,且安全性较高,值得推广应用。

Objective To investigate the preventive effect of Qianjin Capsule on pelvic inflammatory disease after artificial abortion.Methods A total of 194 cases of abortion patients in our hospital from January 2013 to December 2016 were collected and randomly divided into the control group(n=97)and the observation group(n=97).Patients in the control group were given oral Metronidazole Tablets(0.4g/a time,3 times/d)and oral new biochemical granules(9g/a time,3 times/d)while the patients in the observation group were given oral administration of gynecological Qianjin capsules(0.8 g/3 times/d).After 15 days of treatment,the incidence of pelvic inflammatory disease,the incidence of adverse reactions and the recovery of induced abortion were compared between the two groups.Results In the control group,the incidences of pelvic inflammatory disease in patients under the lowest standard,additional standard and special standard were respectively 13.40%,5.15%,8.25%while the incidence of the observation group were 2.06%,0.00%and 0.00%.The difference between the two groups was significant(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group(χ2=4.084,P=0.043).The vaginal bleeding time and the recovery time of the observation group were shorter than those of the control group,and the amount of vaginal bleeding was less than that of the control group.The difference was statistically significant(P<0.05).First day after artificial abortion,there was no significant difference in the quality