[1]肖风娟,姚艳玲,王丽芬.电针联合生化汤加减治疗药物流产不全临床研究[J].陕西中医,2021,(4):520-522,530.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.031]
 XIAO Fengjuan,YAO Yanling,WANG Lifen.Clinical efficacy of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion[J].,2021,(4):520-522,530.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.031]
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电针联合生化汤加减治疗药物流产不全临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年4期
页码:
520-522,530
栏目:
针灸经络
出版日期:
2021-04-05

文章信息/Info

Title:
Clinical efficacy of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion
作者:
肖风娟1姚艳玲2王丽芬1
(1.陕西省中医医院,陕西 西安710003; 2.陕西中医药大学,陕西 咸阳712046)
Author(s):
XIAO FengjuanYAO YanlingWANG Lifen
(Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China)
关键词:
药物流产不全 生化汤 子宫穴 电针 针刺 阴道出血时间
Keywords:
Incomplete medical abortion Shenghua decoction Uterine points Electroacupuncture Acupuncture Vaginal bleeding time
分类号:
R 714.21
DOI:
DOI:10.3969/j.issn.1000-7369.2020.04.031
文献标志码:
A
摘要:
目的:研究电针联合生化汤加减治疗药物流产不全的临床效果。方法:选取81例早孕后药物流产确诊为药物流产不全的患者,按信封随机法分为三组,生化汤组27例、电针组27例、针药组27例,分别给予生化汤、电针治疗及生化汤结合电针联合治疗。三组患者均在治疗后7 d复查B超,随访至下次月经来潮,观察三组患者流产不全的临床疗效,阴道出血时间,转经时间及痊愈时间等,并随访至各组患者月经来潮。结果:经治疗,①针药组总有效率(96.3%)及治愈率(74.1%)和生化汤组(77.8%,44.5%)、电针组(81.4%,48.1%)比较,差异均有统计学意义(P<0.05); ②针药组和生化汤组、电针组比较,阴道出血量减少,阴道出血时间缩短,差异均有统计学意义(P<0.05); 生化汤组与电针组比较,差异无统计学意义(P>0.05),三组转经时间比较均无统计学意义(P>0.05)。③针药组平均痊愈时间和生化汤组、电针组比较明显缩短,差异均有统计学意义(P<0.05)。④针药组和生化汤组、电针组比较,并发症发生率明显降低,差异有统计学意义(P<0.05)。结论:电针联合生化汤加减治疗药物流产不全可减少阴道出血时间,缩短药物流产不全的治疗疗程。
Abstract:
Objective:To study the clinical effect of electroacupuncture combined with Shenghua decoction in the treatment of incomplete abortion.Methods:A total of 81 patients diagnosed with medical abortion after early pregnancy were randomly divided into 3 groups according to the envelope method:27 cases in Shenghua decoction group,27 cases in electroacupuncture,and 27 cases in acupuncture and medicine group.Shenghua decoction,electric acupuncture treatment and combined treatment of Shenghua decoction and electric acupuncture.The 3 groups of patients were rechecked with B-ultrasound 7 days after treatment,followed up to the next menstrual cramps,to observe the clinical efficacy of the 3 groups of patients with incomplete miscarriage,vaginal bleeding time,menstruation time and recovery time,and follow-up to the menstrual cramps of each group.Results:After treatment,①The total effective rate(96.3%)and cure rate(74.1%)of the acupuncture group were compared with the Shenghuatang group(77.8%,44.5%)and the electroacupuncture group(81.4%,48.1%),the difference was statistically significant(P<0.05).②Comparing the acupuncture group with the shenghua decoction group and the electro-acupuncture group,the vaginal bleeding volume was reduced and the vaginal bleeding time was shortened.The difference was statistically significant(P<0.05); the Shenghua decoction group was compared with the electroacupuncture group,The difference was not statistically significant(P>0.05),and the comparison of menstruation time between the three groups was not statistically significant(P>0.05).③The average recovery time of the acupuncture group was significantly shorter than that of the Shenghua decoction group and the electroacupuncture group,and the difference was statistically significant(P<0.05).④Comparing the acupuncture and medicine group with the Shenghua decation group and the electroacupuncture group,the incidence of complications was significantly reduced,and the difference was statistically significant(P<0.05).Conclusion:Electroacupuncture combined with Shenghua decoction can reduce the time of vaginal bleeding and shorten the treatment course of medical abortion insufficiency.

参考文献/References:

[1] 杨 芳.无痛人工流产与药物流产的临床疗效及安全性[J].智慧健康,2018,4(29):61-63.
[2] 石 卉,马宏博.马宏博治疗药物流产不全经验浅谈[J].世界最新医学信息文摘,2019,19(52):233-234.
[3] 吴 英.超声引导在药物流产不全清宫术中的应用价值分析[J].影像研究与医学应用,2018,2(24):203-204.
[4] 肖 丽.米非司酮联合戊酸雌二醇及地屈孕酮治疗稽留流产药物流产不全的疗效分析[J].中国医药指南,2018,16(3):116-117.
[5] 姜彩红.益母草颗粒与去氧孕烯炔雌醇处理药物流产不全的临床价值对比[J].中医临床研究,2017,9(17):99-100.
[6] 程卫东.人工流产术与药流术造成不孕原因的比较分析[J].东南大学学报:医学版,2013,32(1):77.
[7] 杨 兵.生化汤联合补中益气汤加减治疗气虚血瘀型产后恶露不绝42例的临床观察[J].陕西中医,2016,37(2):213-215.
[8] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:69-70.
[9] 国家食品药品监督管理总局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:269.
[10] 曾文娟,安胜利,黄 浩,等.期待与清宫治疗中期引产后宫内妊娠物残留的预后及并发症(英文)[J].南方医科大学学报,2017,37(5):569-574.
[11] 刘新民,妇产科手术学[M].北京:人民卫生出版社,2010:1027-1028.
[12] 陈 思,尤昭玲.中药联合戊酸雌二醇治疗超促排卵后子宫内膜过薄临床观察[J].临床合理用药杂志,2017,10(10):84-85.
[13] 李玉仙.未婚女性药物流产不全及失败的影响因素研究[D].太原:山西医科大学,2016.
[14] 孙建华,郜 洁,阮晓枫,等.邓高丕辨证论治药物流产不全经验[J].广州中医药大学学报,2018,35(4):735-738.
[15] 任 磊.刘春甫教授治疗药物流产不全的临证经验[J].中国中医药现代远程教育,2017,15(12):81-83.
[16] 罗伟飞.益母草胶囊促进产妇子宫复旧疗效观察[J].新中医,2016,48(4):122-123.
[17] 艾 潇,王 琳,刘晓瑜,等.电针合谷、三阴交穴辅助药物流产的临床观察[J].针刺研究,2018,43(7):456-459.
[18] 刘英含,钟 峰,石文英,等.子宫穴在妇科疾病中的应用及现代理论依据[J].上海针灸杂志,2015,34(4):364-366.
[19] 李 净,郜 洁,陈 思,等.子宫穴治疗妇科疾病的古代文献分析[J].广州中医药大学学报,2020,37(4):790-794.
[20] 张 军,朱 江.关于针灸下胎的古代文献研究[J].北京中医药大学学报,1998,21(3):66-67.

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备注/Memo

备注/Memo:
基金项目:陕西省自然科学基金资助一般项目(2020JM-699)
更新日期/Last Update: 2021-04-09