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电针联合生化汤加减治疗药物流产不全临床研究
引用本文:肖风娟,姚艳玲,王丽芬.电针联合生化汤加减治疗药物流产不全临床研究[J].陕西中医,2021,0(4):520-522,530.
作者姓名:肖风娟  姚艳玲  王丽芬
作者单位:(1.陕西省中医医院,陕西 西安710003; 2.陕西中医药大学,陕西 咸阳712046)
基金项目:陕西省自然科学基金资助一般项目(2020JM-699)。
摘    要:目的:研究电针联合生化汤加减治疗药物流产不全的临床效果。方法:选取81例早孕后药物流产确诊为药物流产不全的患者,按信封随机法分为三组,生化汤组27例、电针组27例、针药组27例,分别给予生化汤、电针治疗及生化汤结合电针联合治疗。三组患者均在治疗后7 d复查B超,随访至下次月经来潮,观察三组患者流产不全的临床疗效,阴道出血时间,转经时间及痊愈时间等,并随访至各组患者月经来潮。结果:经治疗,①针药组总有效率(96.3%)及治愈率(74.1%)和生化汤组(77.8%,44.5%)、电针组(81.4%,48.1%)比较,差异均有统计学意义(P<0.05); ②针药组和生化汤组、电针组比较,阴道出血量减少,阴道出血时间缩短,差异均有统计学意义(P<0.05); 生化汤组与电针组比较,差异无统计学意义(P>0.05),三组转经时间比较均无统计学意义(P>0.05)。③针药组平均痊愈时间和生化汤组、电针组比较明显缩短,差异均有统计学意义(P<0.05)。④针药组和生化汤组、电针组比较,并发症发生率明显降低,差异有统计学意义(P<0.05)。结论:电针联合生化汤加减治疗药物流产不全可减少阴道出血时间,缩短药物流产不全的治疗疗程。

关 键 词:药物流产不全  生化汤  子宫穴  电针  针刺  阴道出血时间

Clinical efficacy of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion
XIAO Fengjuan,YAO Yanling,WANG Lifen.Clinical efficacy of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion[J].Shaanxi Journal of Traditional Chinese Medicine,2021,0(4):520-522,530.
Authors:XIAO Fengjuan  YAO Yanling  WANG Lifen
Affiliation:(Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China)
Abstract:Objective:To study the clinical effect of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion.Methods:A total of 81 patients diagnosed with medical abortion after early pregnancy were randomly divided into 3 groups according to the envelope method:27 cases in Shenghua decoction group,27 cases in electroacupuncture,and 27 cases in acupuncture and medicine group.Shenghua decoction,electric acupuncture treatment and combined treatment of Shenghua decoction and electric acupuncture.The 3 groups of patients were rechecked with B-ultrasound 7 days after treatment,followed up to the next menstrual cramps,to observe the clinical efficacy of the 3 groups of patients with incomplete miscarriage,vaginal bleeding time,menstruation time and recovery time,and follow-up to the menstrual cramps of each group.Results:After treatment,①The total effective rate(96.3%)and cure rate(74.1%)of the acupuncture group were compared with the Shenghuatang group(77.8%,44.5%)and the electroacupuncture group(81.4%,48.1%),the difference was statistically significant(P<0.05).②Comparing the acupuncture group with the shenghua decoction group and the electro-acupuncture group,the vaginal bleeding volume was reduced and the vaginal bleeding time was shortened.The difference was statistically significant(P<0.05);the Shenghua decoction group was compared with the electroacupuncture group,The difference was not statistically significant(P>0.05),and the comparison of menstruation time between the three groups was not statistically significant(P>0.05).③The average recovery time of the acupuncture group was significantly shorter than that of the Shenghua decoction group and the electroacupuncture group,and the difference was statistically significant(P<0.05).④Comparing the acupuncture and medicine group with the Shenghua decation group and the electroacupuncture group,the incidence of complications was significantly reduced,and the difference was statistically significant(P<0.05).Conclusion:Electroacupuncture combined with Shenghua decoction can reduce the time of vaginal bleeding and shorten the treatment course of medical abortion insufficiency.
Keywords:Incomplete medical abortion  Shenghua decoction  Uterine points  Electroacupuncture  Acupuncture  Vaginal bleeding time
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