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目的探讨归肾活血调经汤联合心理护理治疗人工流产术后月经量过少的临床疗效。方法选取宁都县计划生育服务站2015年10月—2016年10月收治的行人工流产术后月经量过少患者88例,根据治疗方法的不同分为西医组和中医组,各44例。西医组患者接受西药治疗,中医组患者给予归肾活血调经汤联合心理护理。比较两组患者的临床疗效、治疗前后子宫内膜厚度、激素水平[卵泡刺激素(FSH)、催乳素(PRL)、雌二醇(E2)、促黄体生成素(LH)]及术后2、12、24 h焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果中医组患者临床疗效优于西医组(P<0.05)。治疗前,两组患者子宫内膜厚度比较,差异无统计学意义(P>0.05);治疗后,中医组患者子宫内膜厚度大于西医组(P<0.05)。治疗前,两组患者FSH、PRL、E2、LH水平比较,差异无统计学意义(P>0.05);治疗后,中医组患者FSH、E2、LH水平高于西医组,PRL水平低于西医组(P<0.05)。术后2、12、24 h,中医组患者SAS评分、SDS评分低于西医组(P<0.05)。结论采用归肾活血调经汤联合心理护理治疗人工流产术后月经量过少的临床疗效确切,可有效改善患者激素水平,增加子宫内膜厚度,降低患者焦虑、抑郁情绪。
Objective To investigate the clinical curative effect of Guishen Huoxue taojing Decoction combined with psychological nursing in treating postmenopausal menstruation after induced abortion. Methods Eighty-eight patients with excess menstrual flow after artificial abortion were treated in Family Planning Service Station of Ningdu County from October 2015 to October 2016. According to the different treatment methods, they were divided into Western medicine group and traditional Chinese medicine group, with 44 cases in each group. Western medicine group received Western medicine treatment, Chinese medicine group patients given by the kidney and blood Tiaojing combined psychological care. The clinical efficacy, endometrial thickness, hormone levels (follicle stimulating hormone (FSH), prolactin (PRL), estradiol (E2) and luteinizing hormone (LH) , 12, 24 h anxiety self-rating scale (SAS), depression self-rating scale (SDS) score. Results The clinical efficacy of Chinese medicine group was better than Western medicine group (P <0.05). Before treatment, there was no significant difference in endometrial thickness between the two groups (P> 0.05). After treatment, the thickness of endometrium in TCM group was higher than that in Western medicine group (P <0.05). Before treatment, the levels of FSH, PRL, E2 and LH were not significantly different between the two groups (P> 0.05). After treatment, the levels of FSH, E2 and LH in TCM group were higher than those in Western medicine group, while the levels of PRL were lower in Western medicine group (P <0.05). At 2, 12, and 24 h after surgery, SAS scores and SDS scores in TCM group were lower than those in Western medicine group (P <0.05). Conclusions Guizhu Huoxue Tiaojing Decoction combined with psychological nursing treatment of abortion after the operation of menorrhagia is less than the clinical efficacy can effectively improve the patient’s hormone levels and increase the thickness of the endometrium, reduce anxiety and depression in patients.