摘要
目的:探究脱花煎加减联合米非司酮用于中期妊娠引产的临床效果。方法:选取江西省于都县中医院在2015年1月~2017年1月收治的105例中期妊娠引产患者来进行本次的研究。随机将患者分为观察组和对照组,观察组有35例患者,对照组有70例患者,其中对照组又分为对照组1、2组。对照组1组腔内注射利凡诺尔来进行引产,对照2组在1组的基础上加上米非司酮来进行引产,而观察组则在对照1组的治疗基础上采用脱花煎联合米非司酮来进行引产。对比小组之间的总产程时间、术中出血量、阴道流血天数、并发症发生概率(宫颈裂伤、胎盘胎膜残留率、腹痛)以及治疗总有效率。结果:对照2组的总产程时间、术中出血量、阴道流血天数、并发症发生概率(20.00%)以及治疗总有效率(74.29%)均优于对照1组的总产程时间、术中出血量、阴道流血天数、并发症发生概率(42.86%)以及治疗总有效率(48.57%),数据差异存在统计学意义,P<0.05;观察组的总产程时间、术中出血量、阴道流血天数、并发症发生概率(2.86%)以及治疗总有效率(97.14%)均优于对照2组,两个小组之间产生的数据差异存在统计学意义,P<0.05。结论:脱花煎加减联合米非司酮用于中期妊娠引产的临床效果显著,值得在临床中推广及应用。
Objective:To explore the clinical effect of the combined use of modified decoction and mifepristone in the induction oflabor in the second trimester of pregnancy.Methods:110cases of mid pregnancy induced labor in Yudu County Hospital of TraditionalChinese Medicine from January2015to July2017were selected for this study.Patients were randomly divided into observation groupand control group(the observation group of35patients,the control group of patients of75patients),the control group was divided intocontrol group1and group2.The control group1was given intracavitary injection of rivanol for induced labor,the control group2plusmifepristone based on control group1,and the observation group was given tuohua decoction combined with mifepristone based onthe treatment of control group1for abortion.The total labor time,the amount of bleeding,the number of days of vaginal bleeding,theincidence of complications(cervical laceration,residual placental membrane,abdominal pain)and the total effective rate were comparedbetween the two groups.Results:The total labor time,blood loss,duration,vaginal bleeding complication probability(20%)and thetotal efficiency of treatment(74.29%)in control2group was better than the control1group(P<0.05);the total labor time,postoperativebleeding,vaginal bleeding days,complication probability(2.86%)and the total efficiency of treatment(97.14%)of the observationgroup was better than the control group2(P<0.05).Conclusion:The clinical effect of the combined use of modified decoction andmifepristone in the induction of labor in the second trimester of pregnancy is significant,and it is worthy to be popularized and appliedin clinic.
作者
陈航娇
谢小云
CHEN Hang-jiao;XIE Xiao-yun(Yudu County Hospital of Traditional Chinese Medicine, Yudu Jiangxi 342300, China;Yudu County Hospital of Traditional Chinese Medicine,Yudu Jiangxi 342300, China)
出处
《药品评价》
CAS
2017年第7期60-63,共4页
Drug Evaluation
关键词
脱花煎加减
米非司酮
中期妊娠引产
临床效果
the Addition of Falling Flower Brew
Mifepristone
Mid Pregnancy Induced Labor
Clinical Effect
