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中国医药导刊 ›› 2023, Vol. 25 ›› Issue (5): 478-481.

• 研究进展 • 上一篇    下一篇

中医药防治人流术后子宫内膜损伤的研究进展

     庄海滨1, 张雯婷2*   

  1. 1.福建中医药大学, 福建 福州 350122;
    2.福建中医药大学附属厦门市中医院, 福建 厦门 361000
  • 收稿日期:2023-03-15 修回日期:2023-04-26 出版日期:2023-05-28 发布日期:2023-05-28

Research Progress on Traditional Chinese Medicine Prevention and Treatment of Endometrial Injury after Abortion

  1. 1.Fujian University of Traditional Chinese Medicine,Fujian Fuzhou 350122, China;
    2.Xiamen Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,
         Fujian Xiamen 361000, China
  • Received:2023-03-15 Revised:2023-04-26 Online:2023-05-28 Published:2023-05-28
  • Contact: ZHANG Wenting E-mail:81970498@qq.com

摘要: 目前,我国人工流产的妇女呈现低龄化、未婚未育、重复流产率高的趋势。人工流产术可造成子宫内膜不可逆的损伤,易导致宫腔粘连、薄型子宫内膜、盆腔炎,表现为月经失调、下腹痛、不孕、复发性流产等,严重影响女性身心健康。防治人工流产术后子宫内膜损伤对保护女性生育力尤为重要。然而,人工流产术后子宫内膜损伤及修复机制复杂,现代医学暂无确切诊疗手段修复损伤子宫内膜,临床上也主要采用雌孕激素类药物治疗,尚存在局限性及不良反应。祖国医学从“治未病”理念出发,运用整体观及辨证论治思想,体现了中医药在防治人流术后子宫内膜损伤方面的优势,同时无明显不良反应,且远期疗效稳定。本研究从病因病机、中医药治疗两方面进行阐述,以期使防治人流术后子宫内膜损伤的中医药治疗方案更好应用于临床。

关键词: font-size:medium, ">人工流产;子宫内膜损伤;中医;防治

Abstract: At present, abortion in China shows a trend of low age, unmarried and infertile, and high rate of repeated abortion. The irreversible damage to the endometrium caused by abortion can easily lead to uterine adhesions,t hin endometrium and pelvic inflammatory disease, which can manifest as menstrual disorders, lower abdominal pain, infertility and recurrent miscarriage, and seriously affect women′s physical and mental health. Preventing and treating endometrial injury after induced abortion is particularly important in protecting female fertility. The mechanism of endometrial injury and repair after abortion is complex, and modern medicine has no definite means to repair the damaged endometrium, and currently the main clinical treatment is estrogen and progesterone drugs,but there are limitations and adverse reactions. Chinese medicine is based on the concept of “preventin of disease”, using a holistic view and the idea of discriminatory treatment, which reflects the advantages of Chinese medicine in preventing and treating endometrial injury after abortion, which has no obvious side effects and has stable long-term efficacy. Therefore, this study elaborated from two aspects, namely, etiology and mechanism, and traditional Chinese medicine treatment, in order to better apply traditional Chinese medicine treatment for the prevention and treatment of endometrial injury after abortion in clinical practice.
 

Key words: font-size:medium, ">Induced abortion;Endometrial injury;Traditional Chinese medicine; Prevention and treatment

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