| 摘要: |
| ［摘要］ 目的 探讨益肾养血活血汤对药物流产后阴道出血及月经的影响。方法 选择早孕妇女148例，根据随机余数法分为单纯药流组47例、药流+中药组50例、手术流产组51例。单纯药流组患者口服米非司酮片，药流+中药组在单纯药流组治疗的基础上给予益肾养血汤，手术流产组患者采用负压吸引术进行流产。比较三组生殖激素水平变化情况和阴道出血持续时间、阴道出血量及随访期间月经失调发生情况。结果 手术流产组、药流+中药组人绒毛膜促性腺激素（HCG）、黄体生成激素（LH）、孕酮（P）在孕囊排出后第7天时明显低于单纯药流组(P<0.05)，药流+中药组则明显低于手术流产组(P<0.05)；手术流产组、药流+中药组卵泡刺激素（FSH）、雌二醇（E2）在孕囊排出后第7天时明显高于单纯药流组(P<0.05)，药流+中药组则明显高于手术流产组(P<0.05)。手术流产组、药流+中药组阴道出血持续时间在8～15 d、>15 d的比例均低于单纯药流组(P<0.05)；手术流产组、药流+中药组阴道出血量=月经量、≥月经量的比例均低于单纯药流组(P<0.05)。手术流产组、药流+中药组在随访第1个月、第3个月、第6个月时的月经失调发生率明显低于单纯药流组(P<0.05)，而药流+中药组则明显低于手术流产组(P<0.05)。结论 益肾养血活血汤能明显缩短药物流产后阴道出血时间，减少出血量，促进月经恢复。 |
| 关键词: 益肾养血活血汤 阴道出血 药物流产 月经失调 |
| DOI：10.3969/j.issn.1674-3806.2015.11.14 |
| 分类号:R 71 |
| 基金项目: |
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| Effects of Yishenyangxuehuoxue decoction on colporrhagia and menstruation after drug induced abortion |
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LI Hai-xia
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Minghu Community Health Service Center of Seventh People′s Hospital, Zhengzhou, Henan 450000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the effects of Yishenyangxuehuoxue decoction（YSYXHX decoction） on colporrhagia and menstruation after drug induced abortion.Methods One hundred and forty-eight women with early pregnancy were selected, and divided into simple medical abortion group(n=47), medical abortion+traditional Chinese medicine group(n=50), operation abortion group(n=51). The simple medical abortion group was given oral mifepristone tablets. The medical abortion+traditional Chinese medicine group was given YSYXHX decoction based on the same treatment as the simple medical abortion group. The operation abortion group used vacuum aspiration abortion. The changes of reproductive hormone, vaginal bleeding duration, vaginal bleeding amount and occurrence of menstrual disorder were compared among the three groups during the follow-up period.Results HCG, LH, P at the seventh days after discharge of gestational sac in the operation abortion group and in the medical abortion+traditional Chinese medicine group were significantly lower than those in the simple medical abortion group(P<0.05), and than those in the operation abortion group(P<0.05). The FSH, E2 at the seventh days after discharge of gestational sac in the operation abortion group and in the medical abortion+traditional Chinese medicine group were significantly higher than those in the simple medical abortion group. And than those in the operation abortion group(P<0.05). The rates of vaginal bleeding duration at 8～15 days and more than 15 days in the operation abortion group and the medical abortion+traditional Chinese medicine group were lower than those in the simple medical abortion group(P<0.05). The rates of abnormal vaginal bleeding in the operation abortion group and in the medical abortion+traditional Chinese medicine group were lower than that in the simple abortion group(P<0.05). The incidences of menstrual disorders in the operation abortion group and in the medical abortion+traditional Chinese medicine group at the end of the first, third, sixth months of the followup were significantly lower than those in the simple abortion group(P<0.05), while those in the medical abortion+traditional Chinese medicine group were lower than those in the operation abortion group(P<0.05).Conclusion Yishenyangxuhuoxu decoction can shorten vaginal bleeding time, reduce blood losing and promate menstruation recovery. |
| Key words: Yishenyangxuhuoxu decoction Colporrhagia Drug induced abortion Menstruation |
