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目的:观察口服中药加味生化汤及配合针刺治疗药物流产术后流血的临床疗效。方法:将符合药物流产指征60例早孕妇女随机分为治疗组和对照组,同样方法服用米非司酮配米索前列醇,终止妊娠,治疗组在妊囊排出后给予加味生化汤口服,同时配合针刺,对照组未予任何干预,并对两组阴道出血的时间、出血血量、转经情况、月经周期等进行观察。结果:治疗组妊囊排出后阴道出血总有效率为86.7%,明显好于对照组,治疗组出血天数(9.76±7.82)天,明显短于对照组(15.56±6.40)天。对药物流产后10天左右复查B超检查,治疗组宫内异常改变少于对照组。结论:加味生化汤配合针刺对缩短药物流产后阴道出血时间,减少阴道出血血量疗效显著。
Objective: To observe the clinical effect of oral traditional Chinese medicine Modified Biochemical Decoction and acupuncture for the treatment of bleeding after medical abortion. Methods: Sixty pregnant women, who were indications for medical abortion, were randomly divided into treatment group and control group. Mifepristone and misoprostol were also given to termination of pregnancy. After treatment, At the same time with acupuncture, the control group without any intervention, and two groups of vaginal bleeding time, bleeding volume, menstrual flow, menstrual cycle and so on were observed. Results: The total effective rate of vaginal bleeding in the treatment group was 86.7%, which was significantly better than that in the control group. The bleeding days in the treatment group (9.76 ± 7.82 days) were significantly shorter than those in the control group (15.56 ± 6.40) days. About 10 days after the medical abortion B-ultrasound examination, the treatment group intrauterine abnormal changes less than the control group. Conclusion: Modified Biochemical Decoction with acupuncture can shorten the vaginal bleeding time after medical abortion and reduce the vaginal bleeding volume.