中藥治療產後宮腔殘留38例的療效分析

Analysis of the therapeutic effect of chinese medicine on 38 patients retained conception after pregnancy

目的觀察中藥治療產後宮腔殘留的臨床療效。方法回顧性分析鏡湖醫院中醫門診就診的產後宮腔殘留患者38例,給予中藥脫花煎加味方内服治療,通過治療前後超聲檢查比對來評估臨床療效。結果經治後,痊癒30例,好轉1例,無效7例,治癒率79.94%,總有效率為81.57%。治療前超聲檢查測量宮腔殘留物直徑大小平均值為(1.33±0.91)cm,治療後宮腔殘留物直徑大小平均值為(0.31±0.74)cm,較治療前明顯減小,差異具有統計學意義(P<0.05)。結論初步顯示中藥治療產後宮腔殘留療效較好,副作用少,有利宮腔殘留物排出,促進子宮復舊,降低二次清宮手術率,值得臨床推廣應用。

Objective To observe the clinical effect of traditional Chinese medicine(TCM)on postpartum retained products of conception(RCPs).Methods This was a retrospective analysis of 38 patients who had retained products of conception after a pregnancy in the TCM outpatient clinic of Kiang Wu Hospital and who were orally administered the TCM Jiawei Tuohua Decoction.The clinical curative effect was evaluated by comparing ultrasonography before and after treatment.Results After treatment,30 cases were cured,1 case was improved,7 cases were ineffective,the cure rate was 79.94%,the total effective rate was 81.57%.The mean diameter of uterine tissue residues measured by B-ultrasound before treatment was(1.33±0.91)cm,and that after treatment was(0.31±0.74)cm,which was significantly reduced compared with that before treatment,and the difference was statistically significant(P<0.05).Conclusion The preliminary results show that traditional Chinese medicine in the treatment of postpartum uterine residue has good efficacy,fewer side effects,favorable dischargeuterine residue,promote uterine involution,reduce the rate of second uterine clearance operation,worthy of clinical application.