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目的:观察电针联合活血化瘀止血中药瘀必清辅助米非司酮配伍米索前列醇终止早孕的临床疗效。方法:将198例药物流产者随机分成对照组100例、观察组98例,对照组予米非司酮和米索前列醇口服,观察组在对照组的基础上予电针双侧合谷、三阴交、昆仑、内关,并口服活血化瘀止血中药瘀必清。观察2组流产效果、孕囊排出时间、流产后阴道流血量及出血持续时间、人绒毛膜促性腺激素(HCG)转阴时间。结果:2组完全流产率、清宫率比较,差异均有显著性意义(P<0.05);2组孕囊排出时间、出血持续时间比较,差异有显著性或非常显著性意义(P<0.05);流产后阴道出血量大于月经量者观察组9.18%,对照组34.00%,2组比较,差异有非常显著性意义(P<0.01);14天以内HCG转阴者观察组41.84%,对照组27.00%,2组比较,差异有显著性意义(P<0.05);21天以上仍未转阴者观察组4.08%,对照组13.00%,2组比较,差异有显著性意义(P<0.05)。观察组优于对照组。结论:电针联合中药瘀必清能提高早孕药物流产的完全流产率,降低清宫率,缩短孕囊排出时间,减少流产后阴道出血量及出血时间,加快HCG转阴,减少患者痛苦,值得进一步研究和推广使用。
Objective: To observe the clinical efficacy of electroacupuncture combined with activating blood and removing blood stasis and stopping bleeding with traditional Chinese medicine stasis-qi-qing assisted with mifepristone and misoprostol to terminate early pregnancy. Methods: 198 cases of medical abortion were randomly divided into control group (n = 100) and observation group (n = 98). The control group was given mifepristone and misoprostol orally. On the basis of the control group, the observation group received electroacupuncture at both Hegu and Sanyinjiao Kunlun, Neiguan, and oral blood stasis Chinese medicine stasis must be clear. The effects of abortion, gestational sac excretion time, the amount of vaginal bleeding and duration of bleeding after abortion, and the time of human chorionic gonadotropin (HCG) turning negative were observed. Results: There was significant difference between the two groups in the rate of complete miscarriage and the rate of curettage (P <0.05). There was significant difference between the two groups (P <0.05) ; Vaginal bleeding after abortion is greater than the amount of menstrual flow in the observation group 9.18%, 34.00% in the control group, the difference between the two groups was significant (P <0.01); within 14 days HCG negative conversion group 41.84% 27.00% respectively. There was a significant difference between the two groups (P <0.05). There was a significant difference between the observation group (4.08%) and the control group (13.00%) after 21 days . Observation group than the control group. Conclusion: Electroacupuncture combined with traditional Chinese medicine stasis can improve the abortion rate of abortion in early pregnancy, reduce the curettage rate, shorten the discharge time of the gestational sac, reduce the post-abortion vaginal bleeding and bleeding time, accelerate HCG negative and reduce the suffering of patients, it is worth further Research and promotion use.