紫草天花粉汤与米非司酮在中止妊娠中的协同作用

目的]探讨紫草天花粉汤(主要由紫草、天花粉、白芨、田七、党参等组成)对减少药物流产后出血量，缩短阴道出血持续时间，增加完全流产率的可行性。方法]将观察病例随机分成中药治疗组和对照组，观察两组完全流产率、不完全流产率、失败率和药流后阴道出血量及持续时间。结果]中药治疗组完全流产率为96.25％，高于对照组的86.25％，两组比较接近显著性水平(P＝0．058);流产后阴道出血量和出血时间均明显低于对照组，具有显著性差异(P＝0．001)。结论]紫草天花粉汤可以减少药物流产后阴道出血量和出血时间，有增加完全流产率的趋势。

Synergistic Action of Zicao Tianhuafen Decoction and Mifepristone on Abortion

Objective] To observe the effect of Zicao Tianhuafen Decoction (ZTD), mainly composed of Radix Arnebiae seu Lithospermi, Radix Trichosanthis, Rhizoma Bletillae, Radix Notoginseng and Radix Codonopsis Pilosulae, on abortion induced by mifepristone. Methods] One hundred and sixty cases were randomly allocated to two groups. After administration of mifepristone in the two groups, Group A was given ZTD while Group B was not. Complete abortion rate, incomplete abortion rate, ineffective rate, vaginal bleeding volume and bleeding time were observed after treatment. Results] The complete abortion rate was 96.25% in Group A and 86.25% in Group B (P = 0.058). Vaginal bleeding volume was less and bleeding time shorter in Group A than those in Group B(P = 0.001). Conclusion] ZTD can decrease the vaginal bleeding volume and shorten the bleeding time and tends to increase the complete abortion rate.