中医周期疗法用于人工流产术后的疗效观察

目的 观察中医周期疗法对人工流产术后阴道流血时间、子宫内膜修复、月经周期恢复的临床疗效.方法 280例早期妊娠要求行人工流产术的患者,随机分为治疗组、对照组各140例,两组术后均予硝呋太尔口服,治疗组于术后1～3 d给予祛瘀生新、补气养血的中药口服;术后4～14 d,予以滋补肝肾、培补气血的中药口服;术后15～25 d以健脾温肾、调理冲任的中药口服,且分别将中药加工后分装于红色、黄色、蓝色胶囊中便于患者接受与服用.对照组术后配合血府逐瘀胶囊口服.观察两组术后阴道流血时间、月经复潮时间及术后9d子宫内膜恢复情况.结果 治疗组3例、对照组2例退出本研究,其余病例均完成研究.治疗组术后阴道流血时间、月经复潮时间均短于对照组(P＜0.01);术后9天子宫内膜厚于对照组(P＜0.01).结论 中医周期疗法用于人工流产术后,可缩短阴道流血时间、促进子宫内膜修复.

On the therapeutic effect of the traditional Chinese medicine periodic treatment after the artifitial abortion

Objective This paper aims at the therapeutic effect aft er the artifitial abortion by employing the TCM periodic treatment with respect to shortening the vaginal bleeding time and accelerating the uterine lining recovery. Methods Sampling 280 cases of artifitial abortion in early pregnancy, the author divides them at random the testing and control groups with each of the membership of 140 cases. Given the Nifuratel perorally same as the control group, the testing group is additionally under the TCM periodic treatment, that is, dosing Chinese medicine with the purpose of eliminating blood stasis,promoting tissue regeneration as well as invigorating the vital energy and nourishing the blood during the 1 to 3 days'postoperation period, giving Chinese medicine with a view of strenthening liver and kidney together with activating vital energy during the 4 to 14 days' postoperation period, instructing Chinese medicine in order to nourish the spleen and kidney as well as regulate Chong and Ren Vessels during the 15 to 25 days' postoperation period perorally and respectivelly. In contrast, the control group is given Xuefuzhuyu Capsules after the whole postoperation period. Results In terms of the time of vaginal bleeding, menstrual recovery and the regenerating condition of the uterine lining, the result (except for 3 cases in testing group and 2 cases in control group quiting the experiment) shows that after treatment (9 days after the abortion) the testing group achieves the effect superior to that of control group (P＜0.01). Conclusion The conclusion is that the TCM periodic therapy is effective in the aspect of shortening the vaginal bleeding time, accelerating the uterine lining recovery and regulating the menstrual circle.