摘要
目的探讨新生化汤联合妇科中医流产后关爱(CMPAC)在人工流产术后的应用效果。方法选取2020年2月至2022年4月萍乡市人民医院妇科门诊收治的195例人工流产手术患者作为研究对象,采用随机数字表法将其分为对照组(65例)、新生化汤组(65例)与CMPAC组(65例)。对照组患者采用人工流产术后口服益母草胶囊的常规治疗方式,新生化汤组患者在对照组基础上口服新生化汤治疗方法,CMPAC组患者在新生化汤组基础上给予CMPAC干预,比较三组患者避孕知识知晓率、重复流产率、阴道流血时间、腹痛、不良情绪以及术后避孕措施落实率。结果CMPAC组的重复流产率低于对照组,差异有统计学意义(P<0.017);CMPAC组的术后避孕措施落实率高于对照组与新生化汤组,差异有统计学意义(P<0.017);新生化汤组与CMPAC组的阴道流血时间短于对照组,且CMPAC组短于新生化汤组,差异有统计学意义(P<0.05);CMPAC组患者的避孕知识知晓率高于对照组,差异有统计学意义(P<0.017);新生化汤组和CMPAC组患者的术后腹痛程度轻于对照组,差异有统计学意义(P<0.05);新生化汤组及CMPAC组的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,且CMPAC组低于新生化汤组,差异有统计学意义(P<0.05)。结论在人工流产手术后应用新生化汤能够降低重复流产率,缩短术后阴道流血时间,减轻术后腹痛程度,但联合开展CMPAC还可进一步提高患者的避孕措施落实率与避孕知识知晓率,改善术后心理情绪状态,适宜临床推广应用。
Objective To explore the application effect of New Shenghua Decoction combined with gynecological Chinese medical post-abortion care(CMPAC)mode after induced abortion.Methods A total of 195 patients with induced abortion admitted to the gynecological clinic of Pingxiang People's Hospital from February 2020 to April 2022 were selected as the research objects,and they were divided into control group(65 cases),New Shenghua Decoction group(65 cases)and CMPAC group(65 cases)by random number table method.The patients in the control group were treated with conventional treatment of oral Motherherb Capsule after induced abortion,the patients in the New Shenghua Decoction group were treated with New Shenghua Decoction on the basis of the control group,and the patients in the CMPAC group were treated with CMPAC intervention on the basis of the New Shenghua Decoction group.The awareness rate of contraceptive knowledge,repeated abortion rate,vaginal bleeding time,abdominal pain,bad mood and postoperative contraceptive implementation rate were compared among the three groups.Results The repeated abortion rate of the CMPAC group was lower than that of the control group,and the difference was statistically significant(P<0.017).The implementation rate of postoperative contraceptive measures in the CMPAC group was higher than those in the control group and New Shenghua Decoction group,and the differences were statistically significant(P<0.017).The vaginal bleeding time of New Shenghua Decoction group and CMPAC group were shorter than that of control group,and that of CMPAC group was shorter than that of New Shenghua Decoction group,and the differences were statistically significant(P<0.05).The awareness rate of contraceptive knowledge in the CMPAC group was higher than that in the control group,and the difference was statistically significant(P<0.017).The degree of postoperative abdominal pain in the New Shenghua Decoction group and the CMPAC group was lighter than that in the control group,and the difference was statistically si
作者
张福云
贺伟平
王文华
邓玉玲
黄春
ZHANG Fuyun;HE Weiping;WANG Wenhua;DENG Yuling;HUANG Chun(Department of Gynecology,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China)
出处
《中国当代医药》
CAS
2023年第19期71-75,共5页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2021B608)。
关键词
妇科
中医流产后关爱
新生化汤
人工流产手术
避孕知识
不良情绪
Gynecology
Chinese medical post-abortion care
New Shenghua Decoction
Induced abortion surgery
Knowledge of contraception
Bad mood
