益母草颗粒对人工流产患者炎症因子 水平和微循环的影响
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龚欣欣,女,主治医师,主要从事妇科方面工作。

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R 714.21

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Effect of Leonurus Granules on Inflammatory Factors and Microcirculation in Patients with Induced Abortion
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    摘要:

    摘 要目的:探讨益母草颗粒对人工流产患者炎症因子水平和微循环的影响。 方法:选择郑州市管城中医院 2022 年 1 月至 2023 年 1 月期间执行人工流产术的 90 例患者,随机分为观察组与对照组,各 45 例。对照组在实施人工流产后采取 常规治疗,观察组则在对照组基础上服用益母草颗粒进行治疗,比较两组患者的子宫出血时间、出血量、血常规指标、宫 颈黏液炎症因子、微循环指标的变化状况。 结果:观察组患者的子宫出血时间、子宫出血量均少于对照组,差异具有统计 学意义(P < 0.05);手术后,观察组患者的外周血血红蛋白、红细胞水平均高于对照组,差异具有统计学意义(P < 0.05); 手术后,观察组患者的宫颈黏液白细胞介素(IL)–1、IL–6、肿瘤坏死因子 –α(TNF–α)水平低于对照组,宫颈黏液 IL–2、IL–4、IL–10 水平高于对照组,差异具有统计学意义(P < 0.05);手术后,观察组患者的毛细血管流速大于对照组, 红细胞聚集指数、白微栓、襻周积分、管襻形态积分均低于对照组,差异具有统计学意义(P < 0.05)。 结论:人工流产 后患者使用益母草颗粒治疗,有助于调节并改善机体的炎症状况,促使微循环障碍解除,可有效抑制子宫出血,进一步降 低宫颈粘连等并发症的发生率。

    Abstract:

    AbstractObjective To investigate the effects of leonurus granules on the levels of inflammatory factors and microcirculation in induced abortion patients. Methods A total of 90 patients who underwent artificial abortion in Zhengzhou Guancheng Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were randomly divided into an observation group and a control group, with 45 patients in each group. The control group was treated with routine treatment after artificial abortion, and the observation group was treated with leonurus granules on the basis of the control group. The changes of uterine bleeding time, blood loss, blood routine indexes, cervical mucus inflammatory factors and microcirculation indexes were compared between the two groups. Results The time and amount of uterine bleeding in the observation group were less than those in the control group, and the differences were statistically significant (P < 0.05). After operation, the levels of hemoglobin and erythrocyte in the observation group were higher than those in the control group, the differences were statistically significant (P < 0.05). After operation, the levels of interleukin (IL)-1, IL-6 and tumor necrosis factor-α (TNF-α) in the observation group were lower than those in the control group, and the levels of IL-2, IL-10 and IL-4 were higher than those in the control group, with statistical significance (P < 0.05). After operation, the capillary flow velocity of the observation group was higher than that of the control group, and the red blood cell aggregation index, white microthrombus, periloop and tube loop morphology scores were lower than those of the control group, with statistical significance (P < 0.05). Conclusion After artificial abortion, the use of leonurus granules in patients can help regulate and improve the inflammatory condition of the body, promote the removal of microcirculation obstacles, effectively inhibit uterine bleeding, and further reduce the incidence of cervical adhesion and other complications.

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  • 收稿日期:2023-05-09
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  • 在线发布日期: 2023-10-26
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