【摘要】：人工流產(chǎn)術(shù)(artificial abortion operation)是避孕失敗的補(bǔ)救方法,是指妊娠14周以內(nèi),因意外妊娠、優(yōu)生或疾病等原因而采用手術(shù)終止妊娠的方法,它包括手術(shù)流產(chǎn)與藥物流產(chǎn),手術(shù)流產(chǎn)又分為負(fù)壓吸引術(shù)(vacuum aspiration)和鉗刮術(shù)(dilation clamp and curettage)。本篇論文所討論的為手術(shù)流產(chǎn)中的負(fù)壓吸引術(shù)。 目的： 為減少人工流產(chǎn)術(shù)后可能發(fā)生的并發(fā)癥以及降低重復(fù)流產(chǎn)率,改善人流術(shù)后婦女的生殖健康。本論文對(duì)人工流產(chǎn)術(shù)后立即服用復(fù)方口服避孕藥——去氧孕烯炔雌醇片(媽富隆Marvelon)和(或)婦科千金膠囊的婦女進(jìn)行臨床觀察,分析其作用機(jī)理同時(shí)觀察其臨床療效。 方法： 選取2010年6月～2010年9月來(lái)武漢市婦女兒童醫(yī)療保健中心計(jì)劃生育專科門診,要求進(jìn)行人工流產(chǎn)手術(shù)的婦女400例。將之按照前來(lái)門診就診的先后順序隨機(jī)分為治療組和對(duì)照組,每組各有200例患者。兩組患者在年齡、孕次、孕囊大小等一般資料經(jīng)統(tǒng)計(jì)學(xué)處理后無(wú)顯著性差異(P0.05),具有可比性。治療組的200例患者自手術(shù)當(dāng)日開(kāi)始,使用婦科千金膠囊2片,口服,每日3次,共8天,并且于每晚睡前口服去氧孕烯炔雌醇片1片,共21天；對(duì)照組的200例患者于手術(shù)當(dāng)日開(kāi)始,于每晚睡前口服去氧孕烯炔雌醇片1片,共21天。兩組患者于術(shù)后常規(guī)口服甲硝唑片和諾氟沙星膠囊以預(yù)防感染,并詳細(xì)填寫月經(jīng)卡,記錄陰道流血時(shí)間和流血量,并且兩組的患者均在流產(chǎn)術(shù)后的第8天、第15天和第一次月經(jīng)來(lái)潮之后來(lái)我院門診隨診以觀察藥物的臨床療效。 結(jié)果： 據(jù)觀察顯示,兩組病例的婦女在治療之后治療組伴隨癥狀較對(duì)照組均有明顯改善。 (1)婦科千金膠囊和去氧孕烯炔雌醇片組的陰道流血時(shí)間少于去氧孕烯炔雌醇片組,具有統(tǒng)計(jì)學(xué)意義(P0.05)。 (2)婦科千金膠囊和去氧孕烯炔雌醇片組的陰道流血量少于去氧孕烯炔雌醇片組,具有統(tǒng)計(jì)學(xué)意義(P0.05)。 (3)婦科千金膠囊和去氧孕烯炔雌醇片組術(shù)后月經(jīng)恢復(fù)時(shí)間短于對(duì)照組,具有統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論： 因此,人工流產(chǎn)術(shù)后及時(shí)服用婦科千金膠囊和去氧孕烯炔雌醇片可縮短陰道流血時(shí)間、減少流血量,并減少人工流產(chǎn)術(shù)后并發(fā)癥的發(fā)生,又能有效的避孕,降低重復(fù)人工流產(chǎn)的發(fā)生率,還有助于月經(jīng)周期的建立,可明顯改善婦女的生殖健康。婦科千金膠囊服用方便,患者易接受,在用藥的過(guò)程中,未發(fā)現(xiàn)不良反應(yīng),使之與去氧孕烯炔雌醇片合用相輔相成,取得良好臨床效果,因此于人工流產(chǎn)術(shù)后服用婦科千金膠囊與去氧孕烯炔雌醇片的療效肯定。
[Abstract]:Artificial abortion (artificial abortion operation) is a remedy for contraceptive failure. It refers to the method of termination of pregnancy due to accidental pregnancy, eugenics or illness within 14 weeks of pregnancy. It includes surgical abortion and drug abortion. Operative abortion is divided into negative pressure suction (vacuum aspiration) and forceps (dilation clamp and curettage). In this paper, negative pressure suction in surgical abortion is discussed. Objective: to reduce the possible complications after artificial abortion and to reduce the rate of repeated abortion and improve the reproductive health of women after abortion. In this paper, the clinical observation was carried out on women who took compound oral contraceptive-deoxypregnenyl estradiol (Marvelon) and / or gynecological Qianjin capsule immediately after induced abortion, and analyzed its mechanism of action and observed its clinical curative effect at the same time. Methods: 400 women with artificial abortion were selected from June 2010 to September 2010. The patients were randomly divided into treatment group and control group according to the order of outpatient visits. Each group had 200 patients. Two groups of patients in age, pregnancy, gestational sac size and other general data after statistical treatment, there was no significant difference (P0.05), comparable. 200 patients in the treatment group were treated with gynecological Qianjin capsule 2 tablets 3 times a day for 8 days and 1 estradiol before bedtime every night for 21 days. 200 patients in the control group were treated with deoxypregnenes estradiol tablets before bedtime for 21 days. Patients in both groups were given metronidazole tablets and norfloxacin capsules to prevent infection. Menstrual cards were filled in detail to record vaginal bleeding time and amount of bleeding. The patients in both groups were treated on the 8th day after abortion. On the 15th day and after the first menstruation, we came to our outpatient clinic to observe the clinical effect of the drug. Results: it was observed that the associated symptoms in the treatment group were significantly better than those in the control group after treatment. (1) the vaginal bleeding time of gynecological Qianjin capsule and deoxypregnenes estradiol group was less than that of deoxypregnenes estradiol group (P0.05). (2) the vaginal bleeding of gynecological Qianjin capsule and deoxypregnenes estradiol group was less than that of deoxypregnenes estradiol group (P0.05). (3) the menstrual recovery time of gynecological Qianjin capsule and deoxypregnenes estradiol group was shorter than that of control group (P0.05). Conclusion: taking gynecological Qianjin capsule and deoxypregnenes estradiol tablets in time after artificial abortion can shorten the time of vaginal bleeding, reduce the amount of bleeding, reduce the incidence of complications after artificial abortion, and can be effective contraception. Reducing the incidence of repeated abortion can also contribute to the establishment of menstrual cycle and significantly improve women's reproductive health. Gynecological Qianjin capsule is convenient to take and easy for patients to accept. No adverse reactions were found in the course of medication, which made it complementary to deoxypregnenes estradiol tablets and achieved good clinical effect. Therefore, the curative effect of gynecological Qianjin capsule and deoxypregnenes estradiol tablets after artificial abortion was confirmed.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R169.42

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 羅克紅;;人工流產(chǎn)術(shù)后并發(fā)癥辨治經(jīng)驗(yàn)[J];安徽中醫(yī)學(xué)院學(xué)報(bào);2005年06期

2 呂同尊;范勤穎;李銀寬;張艷梅;劉進(jìn)滿;;益腎祛瘀湯對(duì)藥物流產(chǎn)后生殖激素水平、陰道出血及月經(jīng)的影響[J];河北中醫(yī);2011年01期

3 田洪,潘善慶,左之文;婦科千金膠囊抗炎免疫作用的實(shí)驗(yàn)研究[J];湖南中醫(yī)雜志;2000年05期

4 丁麗仙;王艷;翟婷婷;;補(bǔ)腎養(yǎng)血方對(duì)人工流產(chǎn)術(shù)后陰道出血及月經(jīng)影響的臨床觀察[J];環(huán)球中醫(yī)藥;2010年05期

5 程利南;;人工流產(chǎn)后的避孕指導(dǎo)與服務(wù)[J];中國(guó)計(jì)劃生育學(xué)雜志;2008年02期

6 王琳瑛 ,趙亮,趙媛媛;補(bǔ)中益氣湯加味治療人流術(shù)后發(fā)熱驗(yàn)案1則[J];江蘇中醫(yī)藥;2003年09期

7 陳詠;劉宗唐;;初孕人流術(shù)后閉經(jīng)10例診治體會(huì)[J];遼寧醫(yī)學(xué)雜志;2007年03期

8 李俊箐;中藥治療人流后出血不止40例[J];遼寧中醫(yī)雜志;2003年02期

9 許曉波;固經(jīng)丸治療人流術(shù)后月經(jīng)過(guò)多80例[J];遼寧中醫(yī)雜志;2003年04期

10 賈美君;補(bǔ)腎疏肝化瘀法治療子宮內(nèi)膜異位癥60例[J];新中醫(yī);2001年06期

相關(guān)碩士學(xué)位論文 前2條

1 陳靚芬;歸腎活血調(diào)經(jīng)湯治療人工流產(chǎn)術(shù)后月經(jīng)過(guò)少療效觀察[D];廣州中醫(yī)藥大學(xué);2006年

2 吳桐;中醫(yī)陰陽(yáng)調(diào)理理論與亞健康相關(guān)性的研究[D];北京中醫(yī)藥大學(xué);2007年

，

本文編號(hào)：2379122