| Objective:The aim of this study was to observe the clinical efficacy of Sheng Hua decoction,bionic electrical stimulation and Sheng Hua decoction combined with bionic electrical stimulation therapy on recovery after painless atificial abortion,in order to provide more ideas and methods of accelerating recovery after abortion in clinical medicine and to mitigate the impact of such surgery on the female reproductive system.Methods:This study successfully collected 160 eligible patients who underwent abortion in the outpatient family planning operating room of Hubei Maternal and Child Health Hospital from April 2019 to October 2019.Based on the principle of informed consent of patients,they were divided into four groups according to the random number grouping method,40 cases in each group,namely A was control group,B was Sheng Hua decoction group,C was bionic electrical stimulation group,and D was Sheng Hua decoction combined with bionic electrical stimulation.The age,menelipsis time,and pregnancy times of the four groups were compared.Through statistical analysis,P>0.05 was obtained,suggesting that they were not statistically different from each other,so they were comparable.In group A,only oral cefdinir dispersible tablets were given to prevent infection treatment,one tablet at a time,100 mg each time,three times a day for 4 days;in group B,on the basis of group A,Sheng Hua decoction was given orally warmly after meals once a day,one bag(200ml)each time,once in the morning and evening,even for 7 days;group C was given bionic electrical stimulation therapy on the basis of group A on the day after surgery,once a day for 25 minutes for 7 consecutive days;group D was given Sheng Hua decoction combined with bionic electrical stimulation on the basis of group A on the postoperative day.The time of postoperative vaginal bleeding and the presence or absence of abdominal pain in each group of patients were recorded separately.On the 14th day after surgery,each group of patients returned to the hospital for a B-ultrasound,and the endometrial thickness,endometrium type,subendometrial blood flow classification,and also peak systolic velocities(PSV)and submucosal blood flow resistance index(RI)of the patients' uterine artery were monitored by vaginal color Doppler ultrasound.When the first menstruation came after operation,the time interval between the operation day and the menstrual day was recorded.The menstrual flow of the first menstrual period are compared with the previous situation.At the same time,the patients were followed up for any complications during the observation period,and the adverse outcomes were treated in a timely manner and the treatment plan was changed.The incidence of postoperative complications such as intrauterine adhesions and effusion were recorded.Results:(1)one person gave up this treatment when she was intolerant to the traditional Chinese medicine while taking the traditional Chinese medicine modifided Sheng Hua decoction.Ten people did not adhere to the treatment until the end of the bionic electrical stimulation.The above patients were all excluded as cases of shedding.One was diognosed as intrauterine adhesion,and eight uterine cavity separation,so the required data could not be measured under ultrasound,and they were also regarded as a shedding case.A total of 140 cases were completed and the total data could be measured,of which 36 were in group A,38 in group B,and group C 35 cases,31 cases in group D.(2)Comparison of the duration of postoperative vaginal bleeding:By single factor analysis of variance,P<0.01,the difference was statistically significant.Comparison between groups by LSD t-test,the bleeding time of group B and group D was shorter than group A(P<0.05),group D was shorter than group C(P<0.05),groups A and C did not make any statistical difference(P>0.05),and groups B and C did not make any statistical difference(P>0.05).(3)Comparison of the incidence of postoperative abdominal pain:Chi-square test,P<0.01,there was a significant difference in the incidence of abdominal pain between the four groups.Comparison between groups,the incidence of abdominal pain in groups B,C and D was lower than that in group A(P<0.05),the incidence of abdominal pain in group D was lower than that in group C(P<0.05),and the incidence of abdominal pain in groups B and D did not make any statistical difference(P>0.05).(4)Comparison of endometrial data under ultrasound:Comparing the endometrial thickness of the four groups by univariate analysis of variance,P<0.01,the difference was statistically significant.Comparison among groups by LSD t-test,group B,group C,and group D endometrial thickness was greater than group A(P<0.05),endometrial thickness of group D was greater than those of groups B and C(P<0.05),and there was no significant difference in endometrial thickness between groups B and C(P>0.05).PSV is consistent with the former results.The RI values were statistically significant between the groups,as shown in group D<group B<group C<group A(both P<0.05).The endometrial classification of the four groups was compared.After rank sum test,P<0.05,the difference was statistically significant.Comparing the groups,the endometrial morphology of groups B and D was better than that of group A(P<0.05).The endometrial morphology of D was better than that of group C(P<0.05),and the endometrial morphology of groups B and C did not make any statistical difference(P>0.05).Statistical results of endometrial blood typing was the same as before.(5)Comparison of menstrual rejuvenation time after operation:Analysis of variance,P<0.05,the difference was statistically significant.Comparison between groups by LSD t-test,the menstrual rejuvenation time of group B,C,and D was shorter than that of group A(P<0.05).The period of menstrual rejuvenation in group D was shorter than that of groups B and C(P<0.05).The period of menstrual rejuvenation in group B was not significantly different from that in group C(P>0.05).(6)Comparison of menstrual flow for the first menstrual period after operation compared with the previous situation:After the x 2 test,P<0.05,the difference was statistically significant.Comparing between the groups,the menstrual rejuvenation volume in groups B and D was better than that in group A(P<0.05),and the menstrual rejuvenation volume in group D was better than that in group C(P<0.05).B and C did not make any statistical difference(P>0.05).(7)Comparison of postoperative intrauterine adhesions,intrauterine effusion and other complications:Chi-square test,P>0.05,there was not statistically difference in complications.Among them,there was 1 case of intrauterine adhesions in group A,and 3 cases had uterine effusions on review;1 case of uterine effusions in group B;3 cases of uterine effusions in group C;1 case of uterine effusions in group D.Conclusion:Sheng Hua decoction,bionic electrical stimulation,Sheng Hua decoction combined with bionic electrical stimulation can all reduce the incidence of abdominal pain,accelerate endometrial blood circulation,promote endometrial growth,and shorten menstrual rejuvenation.Sheng Hua decoction,Sheng Hua decoction combined with bionic electrical stimulation can shorten postoperative vaginal bleeding time,improve intimal morphology,and maintain menstrual volume.The combined group has the most significant effects in promoting endometrial growth and recovery,accelerating PSV,improving RI,and accelerating postmenstrual rejuvenation;in improving endometrial blood flow resistance index RI,the Sheng Hua decoction has better effects than bionic electrical stimulation. |
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