活血化瘀为主治疗药物流产后出血的临床观察

目的 探讨中药治疗药物流产后出血的临床疗效.方法 将自愿接受药流女性193例随机分为两组各100例,两组均口服米非司酮配伍米索前列醇进行药物流产,孕囊排出后治疗组加服中药治疗,对照组口服益母草膏.结果 治疗组完全流产率为93.81%、不全流产率为5.16%、流产失败为1.03%;对照组分别为85.42%、11.45%、3.13%.治疗组的完全流产率明显高于对照组(X2=6.28,P<0.05),不全流产率低于对照组(X2=4.32,P<0.05).阴道流血量及阴道出血持续时间,两组比较,差异有统计学意义(t=7.24,P<0.01).结论 以活血化瘀为主的中药配方治疗药物流产不全,具有较好效果.

Clinical Observation on the Treatment of Bleeding after Drug-abortion with the Methods of Activating Blood Circulation to Dissipate Blood Stasis

ObJective To investigate the therapeutic effect of the Traditional Chinese Medicines on bleeding after drug-abortion. Methods 193 patients who volunteered to receive drug-abortion were randomly recruited into a treatment group (97 cases) and a control group (96 cases). The treatment group and control group were taken with traditional Chinese medicines and Yimueao ointment respectively after both groups were administrated with Mifepristone and Misoprostol orally for drug miscarriage. Results The rate of complete abortion, in-complete abortion and failure of treatment in treatment group was 93.81 %, 5.16% and 1.03% respectively, and those of control group were 85.42%, 11.45% and 3.13% respectively. The results showed significant difference between the two groups (P<0.05) . The difference of vaginal bleeding amount and its lasting time between the two groups was also statistically significant (P<0.01) . Conclusion The compound Chinese herbs with the functions of promoting blood circulation to dissipate blood stasis has obvious effects on the treatment of incomplete drag-abortion.