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目的:探讨中西医结合治疗药物流产后阴道流血的临床疗效。方法:研究对象为2010年5月—2011年12月300例被确诊为药物流产后阴道流血的患者,随机分为治疗组及对照组,每组150例,对照组给予安宫黄体酮治疗(每日服10 mg,服用1周),治疗组在此基础上联合桂枝茯苓胶囊(1次3粒,1日3次,服用1周)中药治疗,比较分析两组患者的疗效及清宫比率。结果:治疗组总有效率为95.3%,显著高于对照组的62.7%(P<0.05);且治疗组仅有3例(2%)因药物治疗无效行清宫术,显著少于对照组的34例(22.7%)(P<0.05)。结论:中西医结合治疗是传统医药学与西医西药融会贯通、紧密结合的治疗方法,其疗效显著,可作为药物流产后阴道流血治疗的首选。
Objective: To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of medical vaginal bleeding after medical abortion. Methods: The study was conducted from May 2010 to December 2011. 300 patients were diagnosed as vaginal bleeding after drug abortion. Patients were randomly divided into treatment group and control group, with 150 cases in each group. The control group was given progesterone acetate Taking 10 mg / day for 1 week). On the basis of this, the treatment group was treated with Guizhi Fuling capsule (3 capsules at a time, 3 times a day for 1 week) to compare the curative effect and curettage rate . Results: The total effective rate in the treatment group was 95.3%, significantly higher than that in the control group (62.7%, P <0.05). Only 3 patients (2%) in the treatment group had no curettage due to drug treatment, 34 cases (22.7%) (P <0.05). Conclusion: Integrative Chinese and Western medicine treatment is a combination of traditional Chinese medicine and western medicine. It has a significant curative effect and can be used as the first choice of vaginal bleeding after medical abortion.