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目的观察米非司酮联合生化汤加减治疗宫内组织物残留的临床效果。方法选取医院收治的宫内组织物残留患者80例为研究对象,随机分为观察组和对照组,每组40例。观察组采用米非司酮联合生化汤加减治疗,对照组采用益母草颗粒治疗;观察2组患者的临床总有效率、阴道出血持续时间、阴道出血量情况。结果观察组总有效率为95.00%,高于对照组的60.00%(P<0.01);观察组阴道出血持续时间<7 d时例数多于对照组,>14 d例数少于对照组(P<0.01);等于月经量时2组比较差异无统计学意义(P>0.05);少于月经量时观察组例数多于对照组,大于月经量时观察组例数少于对照组(P<0.01)。结论米非司酮联合生化汤加减治疗宫内组织物残留疗效显著,能有效改善患者的临床症状,减少出血量,缩短出血时间,值得临床推广应用。
Objective To observe the clinical effect of mifepristone combined with Shenghua Decoction in the treatment of intrauterine tissue residue. Methods Totally 80 patients with intrauterine tissue residue in hospital were selected as the research object and randomly divided into observation group and control group with 40 cases in each group. The observation group was treated with mifepristone combined with Shenghua Decoction. The control group was treated with Motherwort granules. The total effective rate of the patients, duration of vaginal bleeding and vaginal bleeding in the two groups were observed. Results The total effective rate in the observation group was 95.00%, which was higher than that in the control group (60.00%, P <0.01). In the observation group, the number of cases with vaginal bleeding was less than 7 days and more than 14 days (P> 0.05); less than the amount of menstrual observation group more than the control group, larger than the number of menstrual flow observation group less than the control group (P <0.01); equal to the amount of menstrual flow was no significant difference between the two groups P <0.01). Conclusion The combination of mifepristone and Shenghua Decoction for the treatment of intrauterine tissue residue has significant curative effect, which can effectively improve the clinical symptoms, reduce the amount of bleeding and shorten the bleeding time, which is worthy of clinical application.