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目的探讨中西医结合治疗药流后出血效果。方法采用对照研究,将患者随机分为对照组与观察组,每组30例,对照组患者在药流排出孕囊后,即追加肌内注射缩宫素(10 IU),1次/d,疗程为3 d,而观察组则在对照组的基础上,加服中药生化汤,治疗结束后,比较两组患者阴道流血时间、出血量,探讨中西医结合的临床应用价值。结果观察组阴道流血时间(10.19±1.28)d,对照组为(17.95±1.44)d,观察组明显少于对照组,差异有统计学意义(t=6.987,P<0.05)。示,观察组患者中,出血量为“月经量”患者比例明显高于对照组,且其出血量为“1~2倍月经量”及“>2倍月经量”患者明显少于对照组,差异有统计学意义(P<0.05)。结论中西医结合治疗药流后阴道出血,有助于缩短出血时间,减少出血量,值得进一步推广应用。
Objective To explore the effect of combining traditional Chinese and western medicine on bleeding after medical abortion. Methods Controlled study, the patients were randomly divided into control group and observation group, 30 cases in each group. Patients in control group were injected with oxytocin (10 IU) once a day after excretion of gestational sac, While the observation group was given the traditional Chinese medicine Biochemical Decoction on the basis of the control group. After the treatment was over, the vaginal bleeding time and bleeding volume of the two groups were compared to explore the clinical value of the combination of traditional Chinese and Western medicine. Results The vaginal bleeding time (10.19 ± 1.28) d in the observation group and (17.95 ± 1.44) days in the control group were significantly less than those in the control group (t = 6.987, P <0.05). Show, the observation group of patients, the amount of bleeding for the “menstrual volume” was significantly higher than the proportion of patients, and the amount of bleeding for the “1 ~ 2 times the amount of menstruation” and “2 times the amount of” patients Significantly less than the control group, the difference was statistically significant (P <0.05). Conclusion Integrative treatment of vaginal bleeding after medical abortion, help to shorten the bleeding time, reduce the amount of bleeding, it is worth further promotion and application.