清宫祛瘀汤治疗药物流产后出血患者对出血指标及预后的影响

目的:探讨清宫祛瘀汤治疗药物流产后出血患者对出血指标及预后的影响。方法:回顾性分析2014年12月至2015年6月于本院自愿接受药物流产的69例健康孕妇临床资料,按照治疗时不同用药方案分为2组,将采用常规米非司酮+米索前列醇治疗的30例患者设为对照组,其余39例在对照组基础上采用清宫祛瘀汤治疗患者设为研究组,对比2组临床具体治疗情况。结果:研究组完全流产率高达94.87%显著高于对照组63.33%,阴道出血时间(7.49±3.02)d,显著短于对照组(14.26±3.66)d,出血量少患者占66.67%低于对照组的33.33%,比较差异均具有统计学意义(P0.05,P0.01);2组不良反应总发生率均未超过15.00%,对比差异无统计学意义(P0.05);此外,研究组在2组治疗后心理状态及生活质量均较治疗前明显改善基础上,其改善幅度显著大于对照组,比较差异均具有统计学意义(P0.05,P0.01)。结论:在常规药物流产治疗基础上,加用清宫祛瘀汤治疗药物流产后出血患者可促进孕囊排出,显著改善药物流产效果,具有临床实际应用价值。

The Effect of Qinggong Quyu Decoction on Blood Index and Prognosis of Bleed Patients after Medical Abortion

To observe the effect of Qionggong Quyu decoction on the blood index and prognosis of patients who bleed after medical abortion. Methods: A retrospective analysis is conducted by collecting 69 patients who received drug abortion voluntarily from December 2014 to June 2015 in our hospital. The patients were divided into two groups, one is control group (n=30) and the other is treatment group (n=39). The control group was given mifepristone and misoprostol, and the treatment group was given Qinggong Quyu decoction on the basis of mifepristion and misoprostol. Observing the clinical results of the two groups. Results: The complete abortion rate of the treatment group (94.87%) was significantly higher than that of the control group (63.33%), with P<0.05. Bleeding days of the treatment group is (7.49±3.02)d, significantly shorter than that of the control group (14.26±3.66)d (P<0.05). Patients who bleed a small amount of blood accounts for 66.67% in the treatment group, higher than that of 33.33% in the control group (P<0.05). Besides, the improvement of psychological status and living quality of the treatment group is higher than those of the control group (P<0.05). Conclusion: Qinggong Quyu decoction combined with conventional western medicine can promote the discharge of zygote and improve effect of medical abortion. It is worthy of clinical application.