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米非司酮配伍米索前列醇终止妊娠,由于痛苦小、安全、简便、高效、无手术创伤,效果肯定,已被妇产科早期要求药物终止妊娠的医患认定,但在实际应用中,我们已观察到一些药流患者在选择药物流产后,因药物反应过大,出现了服药后恶心、呕吐、腹泻、不全流产及药物流产后子宫出血不止等多种现实问题。治疗方法:96例患者经临床症状询问,中医四诊合参,结合B超、尿HCG检验,确诊为药物流产后子宫出血复旧不佳。随机分为治疗组与观察组2组。治疗组按照中医辨证为:崩漏、病机为(气血不足、冲任经脉受损、脾肾两虚)治疗:补益气血,健脾益肾,调固冲任,加强子宫收缩而止血;药物选择中药固冲汤加减,方药组成:白术30g、黄芪30g、龙骨15g、牡蛎15g、山茱萸12g、生白药12g、乌贼骨12g、茜草12g、益母草30g、升麻9g、仙鹳草12g、川续断10g、桑寄生10g、1付/d,3~4次/d,1次150ml水煎服,5~7d为1疗程进行治疗。我们方选固冲汤加减,方中白术、黄芪、健脾益气摄血;龙骨、牡蛎、乌贼骨固摄冲任经脉;山茱萸、白术、川续断、桑寄生固冲任、补肾气;茜草、仙鹳草、益母草活血止血收缩子宫,升麻益气升阳。诸药合用共奏健脾益肾,调固冲任,促子宫收缩止血之功。因为辨证施治合理合法,故药到病除,子宫出血停止,收到满意的临床治疗效果。
Mifepristone with misoprostol termination of pregnancy, due to pain, safety, simplicity, efficiency, no surgical trauma, the effect has been identified by the obstetrics and gynecology early termination of pregnancy drug requirements, but in practical applications, We have observed some medical problems in patients after drug abortion, due to drug reaction is too large, there was a variety of practical problems such as nausea, vomiting, diarrhea, incomplete abortion and uterine bleeding after medical abortion. Treatment: 96 patients were asked by clinical symptoms, TCM four diagnostic criteria, combined with B ultrasound, urine HCG test, diagnosed with medical uterine bleeding after medical abortion poor. Randomly divided into treatment group and observation group 2 groups. The treatment group according to TCM syndrome differentiation: metrorrhagia, pathogenesis (lack of qi and blood, Chong Ren Ren meridians damage, spleen and kidney deficiency) treatment: replenishing qi and blood, spleen and kidney, adjust the rinse, to strengthen the uterine contractions and stop bleeding ; Medicine selection Chinese medicine Gushu Decoction prescription: Atractylodes 30g, Astragalus 30g, keel 15g, oyster 15g, dogwood 12g, raw Baiyao 12g, cuttlebone bone 12g, madder 12g, Motherwort 30g, cohosh 9g, Chuan continued broken 10g, Sang parasitic 10g, 1 / d, 3 to 4 times / d, 150ml Shuijianbi 1, 5 ~ 7d for a course of treatment. We choose Fangguchong Decoction, Fangzhong Atractylodes, Astragalus, spleen Qi gastrocnemius; keel, oyster, cuttlefish bone solid photo Chong meridians; Dogwood, Atractylodes, Chuan continued broken, Sang parasitic solid Chong Ren, Bushen Qi; Rubia, geranium, motherwort blood circulation to stop bleeding uterus, Sheng Ma Sheng Yi Yang. A total of all kinds of medicine played a total of spleen Yishen, tune-Chong-Ren, and promote uterine contraction to stop bleeding. Because dialectical treatment is reasonable and legal, so the drug to the sick, uterine bleeding stopped, received satisfactory clinical treatment.