中药周期疗法治疗子宫切口憩室所致经期延长临床观察

Clinical Observation on Prolonged Menstruation Caused by Uterine Incision Diverticulum Treated with Traditional Chinese Medicine Cycle Therapy

目的:观察中药周期疗法治疗子宫切口憩室所致经期延长的临床疗效。方法:106例采用随机对照方法分为3组,治疗组用中药周期疗法,对照1组用短效避孕药,对照2组用消炎止血药治疗,3组均随访6个月,观察治疗后3组经期变化、憩室经线平均长度变化及不良反应发生情况。结果:用药1个月后总有效率对照1组高于治疗组及对照2组(P<0.05)。用药3个月后对照1组与治疗组总有效率比较差异无统计学差异(P>0.05),但均高于对照2组(P<0.05)。停药3个月后治疗组、对照1组和对照2组总有效率分别为51.16%、36.11%、15.00%,复发率分别为18.52%、37.50%、60.00%,3组比较差异均有统计学意义(P<0.05)。治疗组经超声测量治疗前后憩室经线平均长度比较差异有统计学意义(P<0.05),对照1组、对照2组治疗前后比较差异无统计学意义(P<0.05);三组治疗后组间比较差异有统计学意义(P<0.05)。结论:中药周期疗法治疗剖宫产子宫切口憩室所致经期延长止血效果较好,且不易复发。

Objective:To observe the clinical effect of traditional Chinese medicine cycle therapy on prolonged menstrual period caused by uterine incision diverticulum.Method:106 cases were divided into 3 groups by a randomized control method.The treatment group were treated with traditional Chinese medicine cycle therapy while the control group 1 were treated with short-acting contraceptives,and the control group 2 were treated with anti-inflammatory hemostatic drugs.All 3 groups were followed up for 6 months,and 3 groups were observed after treatment.The menstrual changes,changes in the average length of the diverticulum meridian and the occurrence of adverse reactions were observed.Result:The total effective rate of the control group 1 was higher than that of the treatment group and the control group 2(P<0.05)after 1 month of treatment.After 3 months of treatment,there was no statistical difference between the control group 1 and the treatment group in the total effective rate(P>0.05),but that of both groups were higher than that of the control group 2(P<0.05).Three months after drug withdrawal,the total effective rate of the treatment group,control group 1 and control group 2 was 51.16%,36.11%and 15.00%respectively,and the recurrence rates were 18.52%,37.50%and 60.00%respectively.The difference among the three groups was statistically significant(P>0.05).The difference in the average length of the diverticulum longitude line before and after treatment in the treatment group was statistically significant(P<0.05),and the difference between the control group 1 and the control group 2 before and after treatment was not statistically significant(P<0.05).The difference was statistically significant among the three groups after treatment(P<0.05).Conclusion:The traditional Chinese medicine cycle therapy has a good effect on hemostasis of prolonged menstrual period caused by uterine incision diverticulum in cesarean section,and it is not easy to relapse.