药流后子宫复旧不良患者应用补虚复宫汤与益母草胶囊的临床疗效

Clinical Efficacy of Buxu Fugong Decoction and Yimuncao Capsule in Patients with Poor Uterine Involution after Drug Flow

目的研究分析药流后子宫复旧不良应用补虚复宫汤与益母草胶囊的效果。方法将永城市人民医院妇产科2020年1月至2021年1月收治的76例药流后子宫复旧不良患者采用掷硬币分组法随机分为对照组(38例)与研究组(38例),对照组患者采用益母草胶囊治疗,研究组患者采用补虚复宫汤与益母草胶囊治疗,观察患者临床症状缓解时间、流产后恶露量变化情况、中医证候积分、子宫体积变化情况、临床疗效和发生不良反应情况。结果研究组患者腹痛消失时间、子宫压痛时间均短于对照组,差异有统计学意义(P<0.05);研究组流产后14 d、21 d恶露量评分均低于对照组,差异有统计学意义(P<0.05);治疗后研究组各中医证候指标评分均低于对照组,差异有统计学意义(P<0.05);治疗后研究组子宫体积小于对照组,差异有统计学意义(P<0.05);两组临床治疗有效率对比,研究组明显高于对照组,差异有统计学意义(P<0.05);两组患者发生不良反应对比,差异无统计学意义(P>0.05)。结论在益母草胶囊治疗基础上使用补虚复宫汤可有效提高治疗效果,缩短患者临床症状持续时间,促进患者子宫体积恢复正常,且未见不良反应,具有较高的安全性。

Objective To study and analyze the effect of Buxu Fugong decoction and Yimuncao capsule on uterine involution after drug flow.Methods A total of 76 patients with poor uterine involution after drug flow was admitted to the Department of Obstetrics and Gynecology of Yongcheng City People's Hospital from January 2020 to January 2021 were randomly divided into the control group(38 cases)and the study group(38 cases)by coin flipping method.Patients in the control group were treated with the Yimucao capsule,and patients in the study group were treated with Buxu Fugong decoction and Yimucao capsule.The relief time of clinical symptoms,changes in lotion amount after abortion,TCM syndrome score,changes in uterine volume,clinical efficacy,and adverse reactions were observed.Results The abdominal pain disappearance time and uterine tenderness time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The scores of lotion amounts 14 days and 21 days after abortion in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of TCM syndrome indexes in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the uterine volume of the study group was smaller than that of the control group,and the difference was statistically significant(P<0.05).The clinical effective rate of the two groups was significantly higher in the study group than in the control group,the difference was statistically significant(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion The use of Buxu Fugong decoction on the basis of the Yimuncao capsule can effectively improve the treatment effect,shorten the duration of clinical symptoms,promote the recovery of uterine volume,and there are no adverse reactions,with high safety.