黄芪生化汤对人工流产患者术后子宫复旧的影响

Clinical observation on effect of Huangqi Shenghua Tang on uterine involution in patients after induced abortion

目的探讨黄芪生化汤对人工流产患者术后子宫复旧的影响。方法将100例进行人工流产术的患者按照随机数字表法分为观察组和对照组,每组50例,观察组、对照组于术后当日分别予以黄芪生化汤、益母草颗粒口服,观察并记录两组患者阴道出血量、出血时间、月经复潮时间、腹痛持续时间、子宫内膜厚度、子宫三径之和、子宫内膜血流动力学(RI、PI及PSV)水平及术后宫腔残留物的发生率。结果治疗后,与对照组相比,观察组患者阴道出血量减少[量多:4例(8.00%)vs.8例(16.00%);量中:14例(28.00%)vs.23例(46.00%);量少:32例(64.00%)vs.19例(38.00%),P<0.05],出血时间[(0.78±0.53)d vs.(1.16±0.95)d]、月经复潮时间[(27.16±7.05)d vs.(30.39±8.17)d]及腹痛持续时间[(0.78±0.53)d vs.(1.16±0.95)d]缩短(P<0.05),子宫内膜厚度增加(P<0.05),子宫三径之和减少(P<0.05),RI、PI及PSV水平降低(P<0.05),且术后宫腔残留物的发生率观察组为12%,对照组为28%,两组比较差异有统计学意义(P<0.05)。结论黄芪生化汤可促进人工流产术后子宫复旧,值得在临床上推广和使用。

Objective To observe the effect of Huangqi Shenghua Tang onuterine involution in patients after induced abortion.Methods A total of 100 patientsafter abortion were divided into the observationgroup and the control group according to the random number table method,50 cases in each group.The observationgroup was treated with oral administration of Huangqi Shenghua Tang,and the control group was treated with Yimucao granules.Vaginal bleeding volume,bleeding time,menstruation resume time,abdominal pain duration,endometrial thickness,sum of three uterine diameters,endometrial hemodynamics(RI,PI,PSV)levels and postoperative uterine cavity incidence in the two groups were observed and compared.Results A ftertreatment,compared with the control group,the amount of vaginal bleeding in the observation group wassignificantly reduced,the difference being significant(P<0.05);the vaginal bleeding time,menstruation resume time andabdominal pain duration in the observation group were shorter than those in thecontrol group,difference being significant(P<0.05);the endometrial thickness in the observation group was thickerwhile the sum of the three diameters of the uterus was significantly increased than that in the control group(P<0.05);the levels of each index in the observation group werelower than those in the control group(P<0.05).The postoperative uterine cavity incidencewas 12%in the observation group and 28%in the control group,compared the two groups,difference being significant(P<0.05).Conclusion The therapy of Huangqi Shenghua tang can effectively promote uterine involution inpatients after induced abortion,which is worthy of clinical promotion and application.