Clinical effect of Huoxue Qing Gong decoction in the treatment of vaginal bleeding after medical abortion / 中国基层医药

ABSTRACT

Objective To explore the clinical effect of Huoxue Qing Gong decoction in the treatment of vaginal bleeding after medical abortion.Methods From May 2016 to June 2017,90 cases of vaginal bleeding after drug abortion in the People's Hospital of Dongping County were divided into the observation group and the control group according to the digital table ,with 45 cases in each group .The two groups were all treated with drug abortion to terminate pregnancy ,and the control group was treated with metronidazole tablets +carbazochrome tablets after the termination of pregnancy .The observation group was treated with Huoxue Qing Gong decoction on the basis of the control group.The effect of abortion,bleeding time and bleeding volume after drug abortion ,the time of menstrual recovery and menstrual duration after treatment in thetwo groups were observed and compared .Results Thetotal abortion rate in the observation group was 95.6％,which was significantly higher than that in the control group (84.4％),the difference was statistically significant (χ2 =5.620,P<0.05).The proportion of bleeding time≤7d after abortion in the observation group was 37.8％,which was significantly higher than that in the control group (11.1％),the difference was statistically significant(χ2 =5.628,P<0.05).The proportion of bleeding time 8～14d of the observation group was 60％,which was significantly lower than that of the control group(73.3％),the difference was statistically significant(χ2 =6.571,P<0.05).The proportion of bleeding time more than 15d after drug abortion of the observation group was 2.2％,which was significantly lower than that of the control group (15.6％),the difference was statistically significant (χ2 =5.028,P<0.05).The proportion of vaginal bleeding volume <previous menstrual volume after drug abortion of the observation group was 60.0％,which was significantly higher than that of the control group(28.9％),the difference was statistically significant(χ2 =6.021,P <0.05).The proportion of amount of vaginal bleeding =previous menstrual volume after drug abortion in the observation group was 22.2％,which was significantly lower than that in the control group(26.7％),the difference was statistically significant (χ2 =5.114,P<0.05).The proportion of vaginal bleeding volume>previous menstrual volume after drug abortion of the observation group was 17.8％,which was significantly lower than that of the control group (44.4％),the difference was statistically significant (χ2 =6.375,P<0.05).The period of menstrual recovery of the observation group was (29.5 ±4.2) d,which was significantly shorter than that of the control group[(37.9 ±4.3)d](t=5.028,P<0.05).The duration of menstruation in the observation group was (5.0 ±1.1)d,which was significantly shorter than that in the control group[(6.9 ±1.2)d],the difference was statistically significant(t=3.229,P<0.05).Conclusion Huoxue Qing Gong decoction in the treatment of vaginal bleeding after drug abortion can significantly shorten the time of vaginal bleeding ,reduce the amount of vaginal bleeding ,improve the rate of complete abortion,and has no obvious effect on the first menstrual cycle and menstrual period after the drug flow .