缩宫素联合复方益母草口服液治疗人工流产术后出血的临床观察

发布时间：2019-04-16 20:41

【摘要】：目的:观察缩宫素联合复方益母草口服液治疗人工流产术后出血的疗效、安全性及对正常月经恢复的影响。方法:选取人工流产患者100例,按随机数字表法分为治疗组和对照组,各50例。对照组患者在术后采用缩宫素肌内注射,10 U/次,q12 h,注射3次;治疗组患者在对照组的基础上加用复方益母草口服液,20 ml/次,3次/d,服用5 d。观察两组患者子宫出血持续时间、出血量、正常月经恢复时间及腹痛持续时间及不良反应。结果:治疗组患者子宫出血持续时间为(5.38±0.95)d,明显低于对照组的(8.58±1.32)d,差异有统计学意义(P0.05);治疗组患者出血量少者(24例)高于对照组(9例),量多者(8例)低于对照组(24例),差异具有统计学意义(P0.05);治疗组患者正常月经恢复时间为(27.34±3.87)d,显著短于对照组的(40.13±2.58)d,差异具有统计学意义(P0.05);治疗组患者腹痛持续时间为(2.85±0.89)d,明显短于对照组的(5.02±1.33)d,差异有统计学意义(P0.05)。两组患者均未见明显不良反应。结论:复方益母草口服液治疗人工流产术后出血疗效显著,可明显缩短术后子宫出血时间,减少出血量,较早恢复正常月经时间,改善人工流产术后腹痛症状,服用方便且安全性较好。
[Abstract]:Aim: to observe the efficacy and safety of oxytocin combined with compound Leonurus officinalis oral liquid in the treatment of bleeding after induced abortion and its effect on normal menstruation recovery. Methods: 100 patients with induced abortion were randomly divided into treatment group (n = 50) and control group (n = 50). The patients in the control group were injected intramuscularly with oxytocin (10 U / time, Q 12 h, 3 times) after operation, and the patients in the treatment group were treated with compound Leonurus officinalis oral liquid (20 ml/ d, 3 times / d) on the basis of the control group. The duration of uterine bleeding, the volume of bleeding, the recovery time of normal menstruation, the duration of abdominal pain and the side effects were observed. Results: the duration of uterine bleeding in the treatment group was (5.38 卤0.95) days, which was significantly lower than that in the control group (8.58 卤1.32) days, P 0.05). The amount of bleeding in the treatment group (24 cases) was higher than that in the control group (9 cases), and the volume was lower (8 cases) than that in the control group (24 cases), the difference was statistically significant (P0.05). The recovery time of normal menstruation in the treatment group was (27.34 卤3.87) days, significantly shorter than that in the control group (40.13 卤2.58) days, the difference was statistically significant (P0.05). The duration of abdominal pain in the treatment group was (2.85 卤0.89) days, significantly shorter than that in the control group (5.02 卤1.33) days, P 0.05). No significant adverse reactions were observed in both groups. Conclusion: compound Yimucao oral liquid is effective in the treatment of postoperative bleeding after induced abortion. It can obviously shorten the postoperative uterine bleeding time, reduce the amount of bleeding, restore the normal menstruation time early, and improve the symptoms of abdominal pain after artificial abortion. It is convenient and safe to take.
【作者单位】：唐山市妇幼保健院药剂科;唐山市妇幼保健院妇产科;
【分类号】：R169.42

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