中医非药物治疗在门诊人流术后的干预效果分析

文章信息/Info

• Title:中医非药物治疗在门诊人流术后的干预效果分析

• 卷期:2024年22卷12期

• 作者:严风玲  周文娥  杨丽娜

• 南城县中医院妇产科  江西抚州  344700

• Author(s):Yan Fengling, Zhou Wen'e, Yang Lina

• Department of Obstetrics and Gynecology, Nancheng County Hospital of Traditional Chinese Medicine, Fuzhou City, Jiangxi Province

• 关键词门诊；人流术后；西医药物治疗；中医非药物治疗；术后并发症；不良反应

• Keywords:Outpatient service; After induced abortion; Western medicine treatment; Non drug treatment of traditional Chinese medicine; Postoperative complications; Adverse reactions

• 摘要:目的：分析门诊人流术后中医非药物治疗的干预效果。方法：回顾性选取2020年2月-2022年2月本院门诊人流术后患者60例，依据治疗方法分为中医非药物治疗组、西医药物治疗组两组，各30例。结果：中医非药物治疗组患者的VAS评分、月经不调、畏寒怕冷、腰膝酸软积分、PBAC评分均低于西医药物治疗组，子宫内膜厚度高于西医药物治疗组，血清HCG、FSH、LH水平均低于西医药物治疗组，血清E2、P水平、WHOQOL-BREF评分均高于西医药物治疗组，腹痛持续天数、阴道持续流血天数均少于西医药物治疗组，月经复潮时间均短于西医药物治疗组，术后并发症发生率低于西医药物治疗组（P<0.05）。两组患者的不良反应发生率之间的差异不显著（p>0.05）。结论：门诊人流术后中医非药物治疗的干预效果较西医药物治疗好。                                                                                                                                                                                

• AbstractTo analyze the intervention effect of Chinese medicine non drug therapy after outpatient abortion. Methods: A retrospective study was conducted to select 60 patients after induced abortion in our hospital from February 2020 to February 2022. According to the treatment methods, they were divided into two groups: Chinese medicine non drug treatment group and western medicine drug treatment group, with 30 patients in each group. Results: The VAS scores, irregular menstruation, chilliness, waist and knee soreness scores, PBAC scores of the patients in the non drug treatment group were lower than those in the western medicine treatment group, the endometrial thickness was higher than that in the western medicine treatment group, the serum HCG, FSH, LH levels were lower than those in the western medicine treatment group, the serum E2, P levels, WHOQOL-BREF scores were higher than those in the western medicine treatment group, and the duration of abdominal pain The days of vaginal continuous bleeding were less than those in the western medicine treatment group, the time of menstruation recovery was shorter than that in the western medicine treatment group, and the incidence of postoperative complications was lower than that in the western medicine treatment group (P<0.05). 

  在避孕失败后，人工流产是有效措施。现阶段，在将早期意外妊娠终止的方法中，人工流产是首选方法[1]。无痛人流术中的麻醉效应只能将术中疼痛问题解决，无法将子宫创伤引发的术后下腹疼痛问题解决，需要妇科医务人员积极采取有效措施将患者术后疼痛减轻[2]。本研究分析了门诊人流术后中医非药物治疗的干预效果。