不同电针波形治疗不全流产清宫术后宫内组织物残留的临床效果及对子宫复旧的影响

Clinical effect of different electroacupuncture waveforms for the treatment of intrauterine tissue residue after incomplete abortion evacuation of uterus and their influence on uterine involution

目的探讨不同电针波形治疗不全流产清宫术后宫内组织物残留的临床效果及对子宫复旧的影响。方法将123例不全流产清宫术后宫内组织物残留患者随机分为连续波组、断续波组和疏密波组,每组41例。在西药治疗基础上,连续波组电针治疗采用连续波电针波形电针治疗,断续波组电针治疗采用断续波电针波形电针治疗,疏密波组电针治疗采用疏密波电针波形电针治疗。比较3组患者的组织物残留面积、月经恢复时间、阴道出血时间、宫缩痛视觉模拟量表(VAS)评分、子宫内膜厚度、子宫三径、宫腔内膜容积、二次手术率及生活质量评分。结果末次治疗后3 d,3组患者的组织物残留面积和子宫三径均较治疗前1 d减小,子宫内膜厚度较治疗前1 d增加,且疏密波组上述指标均优于其余两组(P<0.05)。末次治疗后1 d,3组患者的宫缩痛VAS评分较治疗前降低,且疏密波组的宫缩痛VAS评分低于其余两组(P<0.05)。疏密波组的阴道出血时间、月经恢复时间短于其余两组(P<0.05)。治疗后6个月,3组患者的生活质量评分高于治疗前,且疏密波组生活质量评分优于其余两组(P<0.05)。3组患者二次手术率的差异无统计学意义(P>0.05)。结论电针治疗可促进不全流产清宫术后宫内组织物残留排出及宫腔容积复旧,其中疏密波电针波形的治疗效果优于连续波电针波形及断续波电针波形。

Objective To investigate the clinical effect of different electroacupuncture waveforms for the treatment of intrauterine tissue residue after incomplete abortion evacuation of uterus and their influence on uterine involution.Methods A total of 123 patients with intrauterine tissue residue who underwent incomplete abortion evacuation of uterus were randomly divided into continuous wave group,intermittent wave group,or distant⁃dense wave group,with 41 cases in each group.On the basis of Western Medicine therapy,the continuous wave group was treated with continuous wave electroacupuncture waveform,the intermittent wave group was treated with intermittent wave electroacupuncture waveform,whereas the distant⁃dense wave group was treated with distant⁃dense wave electroacupuncture waveform.The tissue residue area,menstrual recovery time,vaginal bleeding time,Visual Analogue Scale(VAS)score for contraction pain,endometrial thickness,triple diameter of uterus,endometrial volume,resurgery rate,and score of life quality were compared between patients of the three groups.Results After 3 days of last treatment,tissue residue area and triple diameter of uterus in the three groups were decreased as compared with 1 day before treatment,while the endometrial thickness was increased as compared with 1 day before treatment,and the aforementioned indices in the distant⁃dense wave group were superior to those in the other two groups(P<0.05).After 1 day of last treatment,both 3 groups exhibited decreased VAS scores for contraction pain as compared with before treatment,and the distant⁃dense wave group yielded a lower VAS score for contraction pain as compared with the other two groups(P<0.05).The distant⁃dense wave group interpreted shorter vaginal bleeding time,menstrual recovery time as compared with the other two groups(P<0.05).After 6 months of treatment,score of life quality in the 3 groups was higher than that before treatment,and the distant⁃dense wave group presented a superior score of life quality to compare with the other two groups(P<0.05).There was no statistically significant difference in resurgery rate between patients of the 3 groups(P>0.05).Conclusion Electroacupuncture treatment can promote discharge of intrauterine tissue residue and uterine involution after incomplete abortion evacuation of uterus,therein the clinical effect of distant⁃dense wave electroacupuncture waveform is superior to continuous wave and intermittent wave electroacupuncture waveforms.