生化汤与调血汤序贯在人流术后子宫修复中的临床观察
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摘要
目的探究人流术后予以生化汤与调血汤序贯子宫修复临床观察。方法抽取我院2016年1月—2017年12月收入人流术后患者80例作为研究对象。按照治疗措施不同,将其分为两组,对照组40例予以常规抗感染治疗,观察组40例在对照组基础上,予以生化汤与调血汤序贯治疗。对两组单层子宫内膜厚度、阴道出血时间进行比较。结果观察组单层子宫内膜厚度≥1.0 cm占比80.0%,高于对照组65.0%,观察组单层子宫内膜厚度<1.0 cm占比20.0%,低于对照组35.0%,两组比较,差异均具有统计学意义(P <0.05),观察组少于月经量或与月经量相似占比82.5%,高于对照组67.5%,观察组少于月经量占比17.5%,低于对照组32.5%,两组比较,差异具有统计学意义(P <0.05)。结论人流术后患者予以生化汤与调血序贯,能促进子宫内膜修复,改善子宫血流状况,进一步恢复患者月经周期。
Objective To observe the endometrial repair effect of sequential therapy with shenghua decoction and tiao-xue decoction after the painless induced abortion. Methods 80 patients underwent the painless induced abortion from January 2016 to December 2017 in our hospital were selected and assigned to two groups according to the different therapies, 40 cases in each group. The control group took the conventional anti-infection therapy;on the basis of the former, the observation group took the sequential therapy of shenghua decoction and tiao-xue decoction. the monolayer endometrial thickness and vaginal bleeding time was compared. Results The ratio of monolayer endometrial thickness ≥ 1.0 cm in the observation group(80.0%)was higher than control group(65.0%); the ratio of monolayer endometrial thickness < 1.0 cm in the observation group(20.0%) was lower than control group(35.0%); the difference was statistically significant(P < 0.05); the ratio of insufficient or equivalent menstrual blood volume in the observation group(82.5%) was higher than control group(67.5%); the excessive menstrual blood volume in the observation group(17.5%) was lower than control group(32.5%); the difference was statistically significant(P < 0.05).Conclusion The sequential therapy of Shenghua Decoction and Tiao-Xue decoction can promote the endometrial repair, improve the uterine blood flow and recover the menstrual period.
Objective To observe the endometrial repair effect of sequential therapy with shenghua decoction and tiao-xue decoction after the painless induced abortion. Methods 80 patients underwent the painless induced abortion from January 2016 to December 2017 in our hospital were selected and assigned to two groups according to the different therapies, 40 cases in each group. The control group took the conventional anti-infection therapy;on the basis of the former, the observation group took the sequential therapy of shenghua decoction and tiao-xue decoction. the monolayer endometrial thickness and vaginal bleeding time was compared. Results The ratio of monolayer endometrial thickness ≥ 1.0 cm in the observation group(80.0%)was higher than control group(65.0%); the ratio of monolayer endometrial thickness < 1.0 cm in the observation group(20.0%) was lower than control group(35.0%); the difference was statistically significant(P < 0.05); the ratio of insufficient or equivalent menstrual blood volume in the observation group(82.5%) was higher than control group(67.5%); the excessive menstrual blood volume in the observation group(17.5%) was lower than control group(32.5%); the difference was statistically significant(P < 0.05).Conclusion The sequential therapy of Shenghua Decoction and Tiao-Xue decoction can promote the endometrial repair, improve the uterine blood flow and recover the menstrual period.
引文
[1]张隆英,叶永志,叶圣荣,等.加味生化汤对药物流产后子宫复旧的疗效分析[J].浙江临床医学,2017,19(7):1277-1278.
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[3]黎秀梅.补肾活血汤对宫腔镜治疗宫腔粘连患者内膜修复及妊娠结局的影响[J].现代中西医结合杂志,2017,26(14):1518-1521.
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[8]廖慧慧,胡晓文,赵颖,等.滋肾育胎丸对人流术后患者子宫内膜血管内皮生长因子、雌激素受体、孕激素受体表达的影响[J].湖北中医药大学学报,2015,17(4):22-25.
[9]韩冉,戴宁,林韵,等.妇科养坤丸与骨髓间充质干细胞移植修复薄型子宫内膜[J].中国组织工程研究,2016,20(1):65-69.
[10]孙川,林琳,齐振艳,等.舒尔经颗粒联合补佳乐对流产术后子宫内膜修复的疗效研究[J].中国药业,2015,24(16):146-147.
[11]张艳红,李春香,陈进成,等.补肾与活血序贯干预对月经模型小鼠子宫内膜修复的影响[J].中医杂志,2015,56(13):1145-1148.
[12]夏良君,胡玉姣,姚兵,等.电针及骨髓间充质干细胞移植对大鼠薄型子宫内膜的影响[J].医学研究生学报,2018,31(2):129-136.
[2]郭冰杰,肖雁冰.补肾法对人工流产术后子宫内膜修复的影响[J].河南中医,2015,35(11):2806-2808.
[3]黎秀梅.补肾活血汤对宫腔镜治疗宫腔粘连患者内膜修复及妊娠结局的影响[J].现代中西医结合杂志,2017,26(14):1518-1521.
[4]万金华,许义芳.清热祛瘀汤配合黄体酮胶丸治疗围绝经期功能失调性子宫出血[J].吉林中医药,2017,37(10):1008-1011.
[5]陈丽名,王倩,倪胜楼,等.关于功能失调性子宫出血的治疗经验浅谈[J].环球中医药,2015,8(2):239-241.
[6]周丽娟,潘丽贞.益肾养血调膜汤治疗宫腔粘连术后月经过少34例[J].江西中医药,2016,47(5):56-58.
[7]曾晶,谈珍瑜,汤洁,等.益气化瘀方干预子宫复旧不全大鼠激素水平的研究[J].湖南中医药大学学报,2015,35(2):11-13,72.
[8]廖慧慧,胡晓文,赵颖,等.滋肾育胎丸对人流术后患者子宫内膜血管内皮生长因子、雌激素受体、孕激素受体表达的影响[J].湖北中医药大学学报,2015,17(4):22-25.
[9]韩冉,戴宁,林韵,等.妇科养坤丸与骨髓间充质干细胞移植修复薄型子宫内膜[J].中国组织工程研究,2016,20(1):65-69.
[10]孙川,林琳,齐振艳,等.舒尔经颗粒联合补佳乐对流产术后子宫内膜修复的疗效研究[J].中国药业,2015,24(16):146-147.
[11]张艳红,李春香,陈进成,等.补肾与活血序贯干预对月经模型小鼠子宫内膜修复的影响[J].中医杂志,2015,56(13):1145-1148.
[12]夏良君,胡玉姣,姚兵,等.电针及骨髓间充质干细胞移植对大鼠薄型子宫内膜的影响[J].医学研究生学报,2018,31(2):129-136.