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目的:观察穴位敷贴对药物流产的干预效果,为临床提供一种既能提高完全流产率,又能最大限度减少药物流产出血量和出血时间的新方法。方法:将200例药物流产患者随机分成2组各100例,对照组予米非司酮片和米索前列醇口服,观察组在对照组治疗基础上以活血化瘀中药延胡索、桃仁敷贴膏敷贴于神阙、中极、三阴交。观察2组完全流产率、胚囊排出时间、阴道出血持续时间、阴道出血量,从而确定穴位敷贴三阴交、中极、神阙在药流中的疗效,并观察各组的副反应。结果:2组完全流产率比较,差异有非常显著性意义(P<0.01)。2组胚囊排出时间、阴道出血持续时间比较,差异均有非常显著性意义(P<0.01)。观察组阴道出血量大于月经量患者占8.0%,对照组为52.0%,2组比较,差异有非常显著性意义(P<0.01),观察组效果明显优于对照组。结论:活血化瘀中药延胡索、桃仁敷贴三阴交、中极、神阙能提高药物流产的完全流产率,缩短胚囊排出时间及减少药物流产阴道出血量、出血持续时间,患者容易接受,值得推广应用。
Objective: To observe the intervention effect of acupoint application on medical abortion and to provide a new method for clinic which can improve the rate of complete abortion and minimize the bleeding time and bleeding time of medical abortion. Methods: 200 cases of medical abortion patients were randomly divided into 2 groups of 100 cases, the control group was given mifepristone tablets and misoprostol orally, the observation group in the control group based on the treatment of traditional Chinese medicine Corydalis, peach kernel paste Sticking to God Que, Pole, Sanyinjiao. The complete abortion rate, the time of embryo sac discharge, the duration of vaginal bleeding and the amount of vaginal bleeding were observed to determine the efficacy of acupoint application of Sanyinjiao, Zhongji and Shenque in medical abortion, and the side effects of each group were observed. Results: There was a significant difference between the two groups in complete abortion rate (P <0.01). There was significant difference between the two groups in the time of embryo sac delivery and the duration of vaginal bleeding (P <0.01). The vaginal bleeding in the observation group was 8.0% higher than that in the menstrual flow, and was 52.0% in the control group. There was a significant difference between the two groups (P <0.01). The observation group was significantly better than the control group. Conclusion: The Chinese medicine fumaralis and peach kernel paste Sanyinjiao, Zhongji and Shenque can improve the complete abortion rate of medical abortion, shorten the time of embryo sac discharge and reduce the amount of vaginal bleeding caused by medical abortion, the duration of bleeding, which is worthy of promotion application.