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目的探索补肾活血法联合透明质酸钠预防人工流产术后宫腔粘连的临床效果。方法 320例人工流产患者,随机分为A组(使用补肾活血法联合透明质酸钠治疗)、B组(使用补肾活血法治疗)、C组(使用透明质酸钠治疗)、D组(使用常规抗生素治疗),各80例,观察治疗效果。结果 A组患者治疗后术后阴道流血持续时间(4.61±1.02)d、首次月经复潮时间(25.98±6.47)d、周期性腹痛情况5.00%、术后阴道流血量(5.41±1.05)ml、子宫内膜厚度(7.95±1.25)mm、宫腔粘连情况2.50%均优于其他三组,且与D组(6.97±1.58)d、(30.25±8.54)d、31.25%、(7.85±2.65)ml、(4.02±1.02)mm、37.50%比较,差异具有统计学意义(P<0.05)。结论补肾活血法联合透明质酸钠预防人工流产术后宫腔粘连效果显著。
Objective To explore the clinical effect of tonifying kidney and promoting blood circulation combined with sodium hyaluronate in preventing intrauterine adhesions after induced abortion. Methods 320 cases of induced abortion were randomly divided into group A (treated with Bushen Huoxue combined with sodium hyaluronate), group B (treated with Bushen Huoxue Therapy), group C (treated with sodium hyaluronate), Group D Conventional antibiotics), 80 cases each, to observe the therapeutic effect. Results The duration of postoperative vaginal bleeding (4.61 ± 1.02) d, the first menstrual period (25.98 ± 6.47) days, the recurrence of recurrent abdominal pain (5.00%), the amount of postoperative vaginal bleeding (5.41 ± 1.05) ml, (7.95 ± 1.25) mm in uterine cavity and 2.50% in intrauterine adhesions were superior to those in the other three groups (6.97 ± 1.58 d, (30.25 ± 8.54) d, 31.25%, (7.85 ± 2.65) d, ml, (4.02 ± 1.02) mm, 37.50%, the difference was statistically significant (P <0.05). Conclusion Bushenhuoxue combined with sodium hyaluronate can prevent intrauterine adhesions after induced abortion.