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目的:探讨中西医结合治疗人工流产术后宫腔粘连的临床效果。方法:选取2013年10月-2015年2月人工流产术后宫腔粘连患者42例,按随机数表法进行分组,每组21例。粘连Ⅰ组患者以西医方法治疗,粘连Ⅱ组患者以中西医结合方案进行治疗。比较两组患者总有效率、治疗前后月经症状积分、子宫内膜厚度和中医证候积分差异。结果:粘连Ⅱ组总有效率明显高于粘连Ⅰ组(P<0.05)。两组治疗前月经症状积分、子宫内膜厚度和中医证候积分比较(P>0.05);治疗后,粘连Ⅱ组月经症状积分、子宫内膜厚度和中医证候积分均明显优于粘连Ⅰ组(P<0.05)。结论:中西医结合治疗人工流产术后宫腔粘连的临床效果确切,可有效增加子宫内膜厚度,改善月经紊乱症状。
Objective: To explore the clinical effect of integrated traditional Chinese and western medicine in the treatment of uterine adhesions after induced abortion. Methods: Forty-two patients with intrauterine adhesions after induced abortion from October 2013 to February 2015 were selected and randomized into groups according to the random number table method, with 21 cases in each group. Group Ⅰ patients with adhesion treatment of Western medicine, adhesion group Ⅱ patients with Integrative Medicine program for treatment. The total effective rate was compared between the two groups, before and after treatment, menstrual symptoms, endometrial thickness and TCM syndrome score differences. Results: The total effective rate of adhesion group Ⅱ was significantly higher than that of adhesion group Ⅰ (P <0.05). The scores of menstrual symptom scores, endometrial thickness and TCM syndromes scores before treatment (P> 0.05) after treatment were significantly higher than those of adhesion group Ⅰ (P <0.05). Conclusion: The clinical effect of integrated traditional Chinese and western medicine in the treatment of uterine adhesions after induced abortion is exact, which can effectively increase the thickness of endometrium and improve the symptoms of menstrual disorders.