Meta Analysis On Oligomenorrhea Due To Artificial Abortion Operation By Chinese Medicine Treatment

The Background:Abortion surgery as remedial measures after contraceptive failure, has been accepted for the majority of women., according to data from the national population and family planning commission issued a set of induced abortion at least13million a year in China, especially on the resulting complications after the incidence of less is more and more high. Western medicine has not yet been to month after less as a independent disease, which belongs to symptoms. The symptoms of their menstrual cycle regularity, yet again not typical, often can’t cause enough attention. Such as modulation, not in time, or will affect the fertilized egg grow in endometrial, lead to infertility, or repeated miscarriages, menopause, ovarian premature senility, etc, create greater psychological pressure to the patient at the same time. Generally the use of hormone therapy, western medicine treatment side effects, and the curative effect is not very ideal; Chinese medicine has a unique advantage in the treatment of menstrual disease, but its efficacy and safety evaluation, has been the lack of a unified modern medicine widely recognized standards, the clinical research also because in the design, implementation and statistical analysis and thesis writing and so on the existing problems, and make its facing the awkward situation.Evidence-based medicine is developed in the early1990s a new crossover clinical basic subject. It refers to the use of Meta analysis using statistical methods to collect meet certain conditions, with the subject of many research results are quantitative synthesis, comprehensive analysis and summary, in order to provide the quantitative effect of average to answer research questions. Meta-analysis it is evidence-based medicine in the rational allocation of resources and improve the efficient use of limited resources the most efficient tool [1], the information provided is the evidence of the highest quality materials.Objectives:The purpose of this article is to through to the domestic publicly in recent15years on traditional Chinese medicine treatment of stream of people surgery after less document Meta analysis, evaluation of traditional Chinese medicine treatment, after the clinical curative effect and safety of less, so as to provide valuable for clinical medical practice evidence-based medical evidence, so as to guide clinical more effectively.The Methods:Method in CNKI, CBM, The Cochrane Library literature database, such as pubmed medical literature citation database retrieval of traditional Chinese medicine treatment of stream of people surgery, after little clinical randomized controlled trials (RCTs) literature, using The Jadad scale to quality evaluation, using meta-analysis of RevMan5.0.2statistical software, using a funnel chart analysis published sex bias.Results:1.Into16literature, are the traditional Chinese medicine treatment of stream of people surgery, after little RCT literatures, a total of1210patients included in this meta-analysis.2. Total effective rate, cure rate comparison:Chinese medicine and western medicine cure rate is merged OR value is2.19,95%confidence interal [1.64,2.93], the diamond is located in the right side of the center line. Checked by Z, Z=5.35, P<0.0001; Total effective rate is merged OR value is3.78,95%confidence interal [2.29,6.23], the diamond is located in the right side of the center line. Checked by Z, Z=5.2, P<0.0001, which indicates that traditional Chinese medicine curative effect is distinct, the difference was statistically significant. Also, the comparison of combine traditional Chinese and western medicine and western medicine were superior to control group in cure rates and effective ways.3. Adverse reactions:new gastrointestinal reaction (P-0.0003) and the incidence of breast tenderness obviously lower than western medicine group (P-0.02).4. Recurrence rate comparison:3months after discontinuation of illness relapse, new treatment, recurrence rates significantly lower than western medicine (P=0.0003) Conclusion:After stream of people surgery treatment of traditional Chinese medicine month less effective, whether new or combine traditional Chinese and western medicine method, especially the traditional Chinese medicine (TCM) syndrome differentiation treatment of artificial cycle and kidney and activating blood regulate the menstrual function, the total effective rate, cure rate, improve endometrium thickness, menstrual period, have advantage than western medicine group (P<0.05) or less, and traditional Chinese medicine with less adverse reaction, recurrence rate is low. But the results are based on included in the published literature may be sexual bias and low quality study quantitatively on the basis of comprehensive analysis. We need to use the new thinking of modern science, new theory, new method to study traditional Chinese medicine theory and rich experience, to find a train of thought for studying the characteristics and advantages of traditional Chinese medicine.