Objective:To investigate the clinical efficacy of Bazhen Yimu capsule in the adjuvant treatment of postoperative vaginal bleeding after medical abortion and the effects on hemorheology and sex hormone levels,in order to provide reference for the clinical treatment of postoperative vaginal bleeding after medical abortion.Methods:A total of 94 patients with vaginal bleeding from medical abortion admitted to Shunde Women and Children''s Hospital of Guangdong Medical University from June 2022 to December 2023 were included,and the 94 patients were divided into groups by randomized number table method, with 47 patients in each group.The control group was treated with oxytocin injection combined with carbazochrome tablets,while the observation group was treated with Bazhen Yimu capsule on the basis of the control group.The cure rate of the two groups was observed,the improvement time of clinical symptoms was recorded, and the changes of hemorheological indexes such as hematocrit (HCT), plasma viscosity(PV),Blood Viscosity(BV),and erythrocyte sedimentation rate (ESR) before and after intervention were observed.The changes of human chorionic gonadotropin(hCG),estradiol(E2), progesterone(P) sex hormone indexes before and after intervention were detected in the two groups,and the occurrence of adverse reactions in the two groups were analyzed and the incidence rate was compared.Results: The cure rate of observation group 95.74% was higher than that 82.98% of control group (P<0.05).The duration of vaginal bleeding, menstrual recovery time and menstrual duration time in observation group were shorter than those in control group(P<0.05).After intervention,the HCT, PV, BV and ESR levels in the observation group were lower than those in the control group (P<0.05). After intervention,the levels of hCG and P in observation group were lower than those in control group, and the levels of E2 were higher than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions(6.38% vs 4.26%)between the two groups(P>0.05).Conclusion:Bazhen Yimu capsule has a definite effect on the adjuvant treatment of vaginal bleeding after medical abortion,which can not only stabilize the hemorheology of patients, but also improve the level of sex hormones in patients, effectively shorten the time of vaginal bleeding, promote the improvement of the condition,and have high safety,which is worthy of clinical promotion and application. |