人流术后不同方法预防宫腔粘连比较

Comparison of Different Methods to Prevent Intrauterine Adhesions after Abortion

目的比较人流术后不同方法预防宫腔粘连的效果,为临床降低人流手术患者术后宫腔粘连发生率提供新思路。方法随机选取2021年4月—2022年4月湖北中医药大学附属国医医院70例行人工流产手术患者为研究对象,按随机数表法分为参照组和研究组,每组35例,参照组给予常规西药治疗,研究组在参照组治疗基础上口服中药调经助孕方。比较两组患者治疗前、治疗后1个月子宫内膜容受性,并对比两组患者术后宫腔粘连发生率、不良反应发生率及受孕率。结果治疗后,研究组患者子宫内膜厚度优于参照组,子宫血流阻力指数和搏动指数低于参照组,差异有统计学意义(P<0.05)。研究组术后宫腔粘发生率(2.86%)低于参照组,受孕率(60.00%)高于参照组,差异有统计学意义(χ2=5.081、7.006,P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论采用中药调经助孕方可有效预防人工流产手术患者术后宫腔粘连发生,并增加子宫内膜容受性,提高受孕率,副作用较少。

Objective To compare the effect of different methods to prevent intrauterine adhesions after abortion,and to provide a new idea for reducing the incidence of intrauterine adhesions after abortion.Methods A total of 70 pa⁃tients undergoing induced abortion in the Affiliated Hospital of Hubei University of Traditional Chinese Medicine from April 2021 to April 2022 were randomly selected and divided into the reference group and the study group according to numerical table method,with 35 cases in each group,the reference group was given conventional western medicine treatment,and the study group was given oral traditional Chinese medicine prescription for regulating menstrual flow and assisting pregnancy based on the treatment of the reference group.Endometrial receptivity was compared between the two groups before treatment and one month after treatment,and the incidence of intrauterine adhesions,incidence of adverse reactions and pregnancy rate were compared between the two groups.Results After treatment,the endome⁃trial thickness of the study group was better than that of the reference group,and the uterine blood flow resistance in⁃dex and pulsation index were lower than that of the reference group,and the differences were statistically significant(P<0.05).The incidence of uterine sticky after operation in the study group(2.86%)was lower than that in the refer⁃ence group,and the pregnancy rate of 60.00%was higher than that of the reference group,and the difference was statistically significant(χ2=5.081,7.006,P<0.05).There was no significant difference in the incidence of adverse reac⁃tions between the two groups(P>0.05).Conclusion The use of traditional Chinese medicine to regulate menstruation can effectively prevent the occurrence of intrauterine adhesions,increase endometrial receptivity,improve pregnancy rate and have fewer side effects.