天花粉汤和清宫术治疗自然分娩宫腔残留临床疗效比较研究-《西部中医药》

文章信息/Info

Title:: Comparative Study on Clinical Effects of Tianhuafen Decoction and Uterine Curettage in Treating Uterine Cavity Residuals in Natural Childbirth

Author(s):: XI Xuxia, SHUI Hengjuan, CHEN Xueqin, CHEN Xinhua; Wuhu City the First People's Hospital, Wuhu 241000, China

Keywords:: uterine cavity residuals; uterine curettage; Tianhuafen decoction; clinical effects

摘要:: 目的：比较天花粉汤和清宫术治疗自然分娩宫腔残留的临床疗效。方法：将自然分娩宫腔残留患者270例随机分为观察组138例和对照组132例，观察组采用天花粉汤治疗，对照组行B超引导下清宫术。比较两组临床疗效。结果：产后第42天B超显示观察组患者无宫腔残留129例，治愈率93.5%(129/138)；产后出血5例（3.6%），产褥感染2例（1.4%）。对照组患者无宫腔残留122例，治愈率92.4%(122/132)；产后出血7例（5.3%），产褥感染5例（3.8%）。两组治愈率、出血及产褥感染情况比较差异均无统计学意义(P＞0.05)。结论：天花粉汤治疗自然分娩宫腔残留与B超引导下清宫术疗效相当。

Abstract:: Objective: To observe clinical effects of Tianhuafen decoction and uterine curettage in the treatment of uterine cavity residuals. Methods: All 270 patients were randomized into 138 cases of the observation group and 132 cases of the control group, the observation group was treated by Tianhuafen decoction, and the control group received ultrasound-guided uterine curettage. To compare clinical effects between both groups. Results: B ultrasound at the 42nd day after delivery showed that 129 cases in the observation group had no uterine cavity residuals, cure rate 93.5% (129/138); five cases suffering from postpartum hemorrhage (3.6%), two cases of puerperal infection(1.4%). 122 cases of the control group showed no uterine cavity residuals, cure rate 92.4% (122/132); seven cases suffering from postpartum hemorrhage (5.3%), five cases of puerperal infection (3.8%). The difference had no statistical meaning in cure rate, hemorrhage and puerperal infection between both groups (P＞0.05). Conclusion: Clinical effects of Tianhuafen decoction in the treatment of uterine cavity residuals is equivalent to that of ultrasound-guided uterine curettage.