Objective To evaluate the clinical outcome of the modified decoction of shenghua in uterine involution after medical abortion. Methods A retrospective study was done with 150 patients who were treated with drug abortion from November 2014 to November 2015.They were randomly divided into observation group and control group. The observation group received conventional cefuroxime ester anti-infection treatment. The control group added the modified decoction of shenghua on the basis of the control group.And then contractions pain,follicle-stimulating hormone (FSH)after 1 week in peripheral blood,luteinizing hormone(LH),estradiol(E2),progesterone(P),vaginal bleeding time,menstruation time were compared between two groups.Results The differences of E2,FSH and P after 1 week in peripheral blood of the two groups were statistically significant(P<0.05). The LH of two groups had no statistically significant(P>0.05). The two groups of the recovery of endometrium had statistical significance(P<0.05). And the differcnces of the two groups in vaginal bleeding time,vaginal bleeding amount and menstruation had statistical significance(P<0.05). Conclusion The modified decoction of shenghua can reduce the side effects of drug abortion and promote restoration of the uterine, it has a good clinical application value.%目的 探讨加味生化汤对药物流产后子宫复旧的疗效分析.方法 选择2014年11月至2015年11月药物流产患者150例.随机分为观察组和对照组:对照组采用常规头孢呋辛酯抗感染处理;观察组在对照组的基础上加服加味生化汤;比较两组患者宫缩痛、1周后外周血中促卵泡生成激素(FSH)、促黄体生成激素(LH)、雌二醇(E2)、孕酮(P)水平差异及阴道出血时间、阴道出血量、月经恢复时间.结果 观察组患者1周后外周血中E2,FSH上升幅度高于对照组,P下降程度低于对照组,差异有统计学意义(P<0.05);LH水平两组比较差异无统计学意义(P>0.05);观察组子宫内膜的恢复优于对照组,差异有统计学意义(P<0.05);阴道出血时间明显短于对照组,阴道出血总量少于对照组,月经恢复时间早于对照组,差异均有统计学意义(P<0.05).结论 加味生化汤有助于减少药物流产的副作用,能促进子宫更好的修复,且副作用少,有较高的临床应用价值.
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