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1、祛瘀生新、益气淸热法治疗药流后阴道出血的临床观察【关键词】血B-HCG【摘要】目的探讨祛瘀生新、益气清热法治疗药物流产后阴道出血的作用机制。方法将400例药流患者随机分为空白组100例,对照纽.(缩宫素)100例,祛膜合剂纽200例。观察治疗后阴道出血吋间、出血量及血0-HCG的变化。结果发现袄膜合剂缩短药流后出血时间总有效率为91%,与对照组和空白组比较差异有显著性(PvO.05),还能有效减少出血量,其机制可能与降低Ifll.e-HCG水平有关。结论运用祛瘀生新、益气淸热的祛膜合剂治疗药流后阴道出血具有较好疗效,它能缩短药流后出血时间,减少出血量,以此法拟定的祛膜
2、合剂具有安全高效、无毒副作用的特点。关键词药物流产阴道出血祛瘀生新、益气清热法血P-HCGTheclinicalobservationofstasis-removingandnew-promoting,energy-invigoratingandheat-clearingmethodintreatingvaginalbleedingaftermedicamentabortionShuLandi,DaiDeying,ZhangTingting,etal.DepartmentofGynecology,ShuguangHospitalAffiliatedtoShanghai
3、UniversityofTraditionalChineseMedicine,Shanghai200021.【Abstract]ObjectiveToexplorethefunctionmechanismonmethodofstasis-removingandnew-promot一ing,energy-invigoratingandheat-clearingmethodintreatingvaginalbleedingaftermedicamentabortion.Methods400patientsweredividedinto4groupsrandomly:the
4、blankfori00,thecontrol(oxytocin)forlOOandtheen~dometrium-eliminatingfonnulafo「200.0bservingthechangesofvaginalbleedingtime,quantityandthebloodP-HCGResultsThetotalefficientratiois91%fortheendometrium-eliminatingformulashortenedbleedingtimeaf~termedicamentabortion,havingobviousdifferencec
5、omparedwiththeblankandcontrolgroups(P<0.05),effectivelyreducingamountofblood,anditsmechanismisconcernpossibilywithloweringbloodP・HCGhormonelevel.Conclu一sionEndometrium-eliminatingformula,whichstasis-removingandnew-promoting,energy-invigoratingandheat-clearing,hasbettereffectintreatingva
6、ginalbleedingaftermedicamentabortion,itcanshortenbleedingtime,reducingbleedamount.Andendometriuni-eliminatingformula,draftingwiththismethod,hasacharacteristicforvalid,safetyandnonpoisonoussideeffect.Keywordsmedicamentabortionvaginalbleedingstasis-removingandnew-promotingenergy-invigo~ra
7、tingandheat-clearingbloodP-HCG米非司酮配合米索前列醇(简称米索)终止7周以内的早孕完全流产率90%〜95%[1,2],为当今壯界最成功的抗早孕技术。但这种方法的主要缺点是孕囊排出后阴道出血吋间长(平均达2〜3周)或出血量过多(统称药流后出血)[3,4],影响了服药者的身体康复和工作、生活,成为计划生育工作中的一大难题。根据多年临床观察和大量文献报道,药流后出血患者有瘀热阻滞胞中的表现,故我们采用具有祛瘀生新、益气清热作用的祛膜合剂对•药流后阴道出血的疗效进行临床观察,现报告如下。1资料与方法1.1一般资料1」」病例来源及