| Objective. To observe clinical efficacy of postpartum Gong Qing decoction (from drew up a square) in many aspects such as:to shorten the vaginal bleeding time after medical abortion, reduce amount of vaginal bleeding and improve the certificate waits of TCM etc. and to inquire into its acting mechanism initially so as to provide science basis for clinical application of postpartum Gong Qing decoction.expecting for exploring a kind of treatment method which does have accurate curative effect and is safer, more convenient and minor injuries in prevention and cure vaginal bleeding after medical abortion.Method. A randomized non-blind method,60 cases of vaginal bleeding after medical abortion, traditional Chinese medicine diagnosis of postpartum prolonged uterine bleeding (Qi deficiency and blood stasis) were randomly divided into experimental group and control group, 30 patients every group. Gestational sac in the discharge of medical abortion, the test group was treated with traditional Chinese medicine postpartum Palace broth, the control group was treated with blood Yimu particles. To evaluate curative effect of the two groups after treatment and to determine efficacy differences by observing vaginal bleeding, duration, TCM syndrome and the uterus changes in B-ultrasound before and after treatment. While monitoring blood safety index, liver function, normal vaginal discharge, prothrombin time etc.Results. Abortion effect of statistical analysis shows the results of the experimental group the duration of vaginal bleeding (12.47±5.46) days, significantly shorter than the control group (17.13±8.07) days. Experimental group and control group with significant difference (P<0.05). Time to stop bleeding after medical abortion in the efficacy of the experimental group 17 cases markedly effective,12 cases effective and 1 case invalid, the total effective rate was 96.67%, 3.33%invalid; the control group 11 cases markedly effective,11 cases effective and 8 cases invalid, the total effective rate was 73.34%,26.66%valid, the experimental group and control group by a statistical treatment have significant difference (P<0.05). Total amount grade point of vaginal bleeding in experimental group is less than control group, the statistically significant difference test (P<0.05). Integration method based on TCM statistics, the efficacy of the experimental group is prior to the control group, the experimental group and control group with significant difference (P<0.05). By observing uterus three-path changes in B-ultrasound before and after treatment, the difference between before and after treatment by t test, P> 0.05, was not statistically significant, indicating that the two groups are similar in the effect of uterine involution. Curettage rate for incomplete abortion of two groups of comparison, the control group routine curettage in 4 cases, incomplete abortion curettage rate was 13.33%; the experimental group, only 1 case, incomplete abortion curettage rate was 3.33%, better than the control group. However, statistical test, P> 0.05, the difference was not statistically significant, which may be related with the sample size. From medical abortion to complex influx of menstruation, the experimental group and control group required an average of (37.8±8.89) days, (39.77±11.16) days, the complex wave of the average menstrual period were (5.23±1.33) days, (5.33±0.96) days; vaginal bleeding similar to previous menstrual amount,the cases of experimental group were more than the control group indicating that the treatment group of the amount of complex tide smaller than the control group. However, by statistical test, after abortion the experimental group and control group menstruation in recovery time, menstrual period, and the menstrual amount have no significant difference (P> 0.05).During the treatment, patients of treatment group with adverse reactions have 2 cases, the total incidence rate of 6.67%; patients of control group with adverse reactions have 3 cases, the total incidence rate of 10.00%. Adverse reaction rates in the two groups have no statistically significant difference (P> 0.05).Conclusion. The above clinical observations suggest that postpartum Gong Qing decoction can shorten the time of vaginal bleeding after medical abortion, reduce the amount of bleeding and have significant promotion in the improvement effects of symptoms of TCM without adversely affecting to the tide and no obvious side-effects.It is a Safe and effective herbs.But it is currently limited to clinical observation, the lack of basic experimental studies. |
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