CAJ | 학술논문

目的：观察重楼荠菜生化汤对促进人工流产术后子宫复旧的临床效果。方法将100例进行人工流产术的患者随机分为观察组（重楼荠菜生化汤组）、对照组（益母草胶囊组）。观察组、对照组术后当日分别予以口服重楼荠菜生化汤、益母草胶囊。观察、比较两组病例用药后的子宫复旧情况及安全性。结果观察组在减少人工流产术后阴道流血量、缩短术后阴道流血时间和月经复潮时间、促进子宫缩复及子宫内膜修复等方面均优于对照组，在促进子宫复旧方面疗效显著。观察组患者阴道流血量为(83.12±19.30)g，阴道流血持续时间为(4.74±1.56)d，月经复潮时间为(21.26±4.62)d，子宫三径之和为(17.44±0.97)cm，子宫内膜厚度为(1.20±0.28)cm；对照组患者阴道流血量为(93.60±22.43)g，阴道流血持续时间为(5.92±1.65)d，月经复潮时间为(24.67±5.90)d，子宫三径之和为(18.09±1.22)cm，子宫内膜厚度为(1.03±0.29)cm。观察组在减少人工流产术后阴道流血量、缩短术后阴道流血时间和月经复潮时间、促进子宫恢复及子宫内膜修复等方面均优于对照组。结论重楼荠菜生化汤对于促进人工流产术后子宫复旧方面疗效确切，值得临床上进一步推广应用。
목적：관찰중루제채생화탕대촉진인공유산술후자궁복구적림상효과。방법장100례진행인공유산술적환자수궤분위관찰조（중루제채생화탕조）、대조조（익모초효낭조）。관찰조、대조조술후당일분별여이구복중루제채생화탕、익모초효낭。관찰、비교량조병례용약후적자궁복구정황급안전성。결과관찰조재감소인공유산술후음도류혈량、축단술후음도류혈시간화월경복조시간、촉진자궁축복급자궁내막수복등방면균우우대조조，재촉진자궁복구방면료효현저。관찰조환자음도류혈량위(83.12±19.30)g，음도류혈지속시간위(4.74±1.56)d，월경복조시간위(21.26±4.62)d，자궁삼경지화위(17.44±0.97)cm，자궁내막후도위(1.20±0.28)cm；대조조환자음도류혈량위(93.60±22.43)g，음도류혈지속시간위(5.92±1.65)d，월경복조시간위(24.67±5.90)d，자궁삼경지화위(18.09±1.22)cm，자궁내막후도위(1.03±0.29)cm。관찰조재감소인공유산술후음도류혈량、축단술후음도류혈시간화월경복조시간、촉진자궁회복급자궁내막수복등방면균우우대조조。결론중루제채생화탕대우촉진인공유산술후자궁복구방면료효학절，치득림상상진일보추엄응용。
Objective To observe the clinic effect of Chong-Lou-Ji-Cai-Sheng-Hua-Tang in promoting uterine recovery after abortion surgery. Methods Totally 100 patients with induced abortion were randomized into the observation group(Chong-Lou-Ji-Cai-Sheng-Hua-Tang group) and control group(motherwort capsule group).Chong-Lou-Ji-Cai-Sheng-Hua-Tang and motherwort capsule were given to the patients in the observation group and control group.respectively.To observe and compare the two groups of patients after treatment of uterine recovery and safety. Results Observation group of patients with vaginal bleeding amount was (83.12±19.30)g ,vaginal bleeding duration was (4.74±1.56) days, menstruation after tide time was (21.26±4.62) days, the sum of the three size of uterus was (17.44±0.97)cm, endometrial thickness was (1.20±0.28) cm;Control group of patients with vaginal bleeding amount was (93.60±22.43)g ,vaginal bleeding duration was (5.92±1.65) days, menstruation after tide time was (24.67±5.90) days, the sum of the three size of uterus was (18.09±1.22)cm, endometrial thickness was (1.03±0.29)cm.Observation group in reducing the amount of vaginal bleeding after artificial abortion, shorten the time of vaginal bleeding and menstruation after tide time, promote the uterus recovery, endometrial repair Etc. were better than that in control group. Conclusion Chong-Lou-Ji-Cai-Sheng-Hua-Tang could effectively promote uterine involution after abortion,worth being further popularized.