补肾活血调周法联合中药封包预防人流术后宫腔粘连的临床研究

Clinical Study on Preventing Intrauterine Adhesions after Abortion by Invigorating Kidney, Activating Blood and Regulating Zhou Combined with Traditional Chinese Medicine Encapsulation

摘要: 目的：观察补肾活血调周法联合中药封包预防人流术后宫腔粘连的临床疗效。方法：采用病例随机对照研究方法，将200名患者分为补肾活血调周法治疗组(对照组)与补肾活血调周法联合中药封包治疗组(实验组)。两组共治疗3个月经周期，观察两组患者内膜厚度、术后恢复情况、子宫复旧情况、宫腔粘连发生率，评估补肾活血调周法联合中药封包的疗效。结果：治疗后，实验组子宫内膜厚度明显高于对照组，其术后阴道流血时间、月经复潮时间少于对照组，阴道流血少于月经量的例数多于对照组，差异均有统计学意义(P < 0.05)；实验组术后疼痛评分低于对照组，宫腔粘连发生率低于对照组，差异均有统计学意义(P < 0.05)。结论：补肾活血调周法联合中药封包应用在人流术后患者中，能够缩短术后阴道流血持续时间、首次月经复潮时间，减少阴道出血量，恢复子宫内膜厚度，促进子宫复旧，减少人流术后宫腔粘连的发生率。

Abstract: Aim: To observe the clinical effect of intrauterine kidney, activating blood and regulating Zhou method combined with traditional Chinese medicine encapsulation to prevent intrauterine adhesion after abortion. Method: The study utilized a case randomized control design. The 200 patients were divided into two groups: invigorating kidney, activating blood and regulating Zhou treatment group (control group) and invigorating kidney, activating blood and regulating Zhou combined with traditional Chinese medicine encapsulation treatment group (experimental group). Both groups were treated for a total of 3 menstrual cycles. Endometrial thickness, postoperative recovery, uterine involution and incidence of intrauterine adhesions were observed in two groups, to evaluate the efficacy of invigorating kidney, activating blood and regulating Zhou combined with traditional Chinese medicine encapsulation. Result: After treatment, the endometrial thickness of the experimental group was significantly higher than that of the control group, the postoperative vaginal bleeding time and menstrual rehydrating time were less than the control group, the number of cases of vaginal bleeding less than menstrual volume was more than that of control group, the differences were statistically significant (P < 0.05). The postoperative pain score of the experimental group was lower than that of the control group, and the incidence of intrauterine adhesions was lower than that of control group, the difference was statistically significant (P < 0.05). Conclusion: Intrauterine kidney, activating blood and regulating Zhou combined with traditional Chinese medicine encapsulation was applied in patients after abortion, it can shorten the duration of postoperative vaginal bleeding and the time of first menstruation, reduce vaginal bleeding, restore endometrial thickness, promote uterine involution and reduce the incidence of intrauterine adhesions after abortion.