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目的观察中药汤剂健脾益气汤配合米非司酮与米索前列醇治疗药物流产后宫内残留的临床疗效。方法选取药物流产后超声检查证实宫腔内有少量残留的患者84例,按照患者自愿选择,分为西医组46例,中西结合组38例,比较两组疗效。结果中西结合组治愈率为97.37%,患者用药后残留物完全排除,出血自行停止,尿hCG转为阴性,子宫恢复正常大小,B超复查提示宫内未见残留物,恶露净止。西医组治愈率为82.61%。结论中药健脾益气汤协助米索前列醇治疗流产后残留物,避免了清宫手术给患者带来的身心创伤,减少并发症的发生。
Objective To observe the clinical efficacy of Chinese herbal decoction Jianpi Yiqi Decoction combined with mifepristone and misoprostol in the treatment of intrauterine residue after medical abortion. Methods Eighty-four patients with small residual intrauterine cavity were confirmed by ultrasound examination after abortion. According to the patients’ voluntary choice, they were divided into Western medicine group (46 cases) and western medicine group (38 cases). The curative effect was compared between the two groups. Results The cure rate was 97.37%. After treatment, the residues in the patients were completely eliminated. The bleeding stopped by themselves. The urine hCG turned negative. The uterus returned to normal size. Western medicine group cure rate was 82.61%. Conclusion Traditional Chinese medicine Jianpi Yiqi Decoction assists misoprostol in treating post-abortion residue, avoids the physical and psychological trauma caused by the operation of Qing Gong and reduces the incidence of complications.