子午流注择时补肾方外用对于人流术后月经恢复情况的临床影响

The clinical effect of timing and tonifying kidney formula for external use of meridian flow injection on menstrual recovery after induced abortion surgery

目的:探讨与分析子午流注择时补肾方外用对于人流术后月经恢复情况的临床影响。方法:选择2020年4月到2023年4月中医科(妇科)收治的本、外院完成人流术后的患者74例作为研究对象,根据随机1∶1简单分配法把74例患者分为研究组与常规组各37例。常规组给予去氧孕烯炔雌醇治疗,研究组在常规组治疗的基础上给予子午流注择时补肾方外用治疗,两组都治疗3个月经周期,记录患者月经恢复情况。结果:治疗3个月经周期后研究组的总有效率为97.30%,显著高于常规组的83.78%(P<0.05)。治疗3个月经周期后两组的月经量显著多于治疗前(P<0.05),月经周期显著短于治疗前(P<0.05),研究组与常规组相比也有明显差异(P<0.05)。两组治疗3个月经周期后的中医证候积分(经期腹痛、腰膝酸软、月经量少、经色暗淡)均较治疗前降低(P<0.05),且研究组治疗3个月经周期后的上述中医证候积分也明显低于常规组(P<0.05)。研究组治疗3个月经周期期间的食欲不振、恶心、嗜睡、头晕等不良反应发生率为5.41%,常规组为29.73%,研究组与常规组相比明显降低(P<0.05)。结论:子午流注择时补肾方外用在人流术后患者的应用能提高治疗效果,提高月经量与缩短月经周期并降低月经中医证候积分,减少患者的不良反应发生率。

Objective:To explore and analysis the clinical impact of timing and tonifying kidney formula for external use in the treatment of menstrual recovery after artificial abortion.Methods:74 patients admitted to our department from April 2020 to April 2023 who had completed post abortion in Jiangyin Maternal and Child Health Hospital and outside hospital were selected for the study.Accorded to the random 1∶1 simple allocation method,the 74 patients were divided into the study group and the traditional group,with 37 patients in each group.The traditional group were treated with deoxygenepregnenyl estradiol,while the study group were treated with meridian flow injection and timed kidney tonifying formula for external use on the basis of the traditional group's treatment.Both groups were treated for 3 menstrual cycles,and the patient's menstrual recovery were recorded.Results:After treating three menstrual cycles,the total effective rate of the study group were 97.30%that were significantly higher than the traditional group of 83.78%(P<0.05).After 3 menstrual cycles of treatment,the menstrual volume of the two groups was significantly more than that before treatment(P<0.05),and the menstrual cycle was significantly shorter than that before treatment(P<0.05),and the menstrual cycles were significantly lower than those of the traditional group(P<0.05).There were also significant difference compared between the study group and the traditional group(P<0.05).The traditional Chinese medicine syndrome scores(menstrual abdominal pain,weak waist and knees,low menstrual volume,and dim menstrual color)of both groups after three menstrual cycles of treatment decreased compared to before treatment(P<0.05),and the above traditional Chinese medicine syndrome scores of the study group after three menstrual cycles of treatment were also significantly lower than those of the conventional group(P<0.05).The incidence of adverse reactions such as loss of appetite,nausea,drowsiness,and dizziness during the three menstrual cycles treated in the study group were 5.41%,compared to 29.73%in the traditional group.The study group showed there were significant decrease compared to the traditional group(P<0.05).Conclusion:The external application of Ziwu Liuzhi Zhenshi Kidney Replenishing Formula in post-abortion patients can improve the therapeutic effect,increase the menstrual volume and shorten the menstrual cycle and reduce the points of menstrual Chinese medicine syndromes,as well as reduce the incidence of adverse reactions in patients.