产后母儿无忧汤治疗产后缺乳45例临床研究  

Observation of Muer Wuyou decoction on postpartum hypogalactia

作　　者：李冬梅 刘艳芹 李立梅 

机构地区：[1]河北省迁安市中医院妇产科,河北迁安064400 [2]河北省迁安市妇幼保健院B超室,河北迁安064400

出　　处：《河北中医》2010年第5期655-657,共3页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2009年度中医药;中西医结合科研计划课题(编号:2009236)

摘　　要：目的观察产后母儿无忧汤治疗产后缺乳的临床疗效。方法选取产后缺乳患者90例,随机分为2组。治疗组予产后母儿无忧汤口服;对照组予坤元通乳口服液口服。2组均于产后3d开始用药,4d为1个疗程。观察2组治疗前后临床症状、泌乳量、补乳量、新生儿体质量、产妇血清催乳激素(PRL)及雌二醇(E2)含量。结果治疗组总有效率86.67%,对照组总有效率62.22%,2组总有效率比较差异有统计学意义(P<0.05),治疗组优于对照组。2组治疗后泌乳量、补乳量、新生儿体质量与本组治疗前比较差异均有统计学意义(P<0.05),治疗组治疗后PRL与本组治疗前比较差异有统计学意义(P<0.05),2组治疗后泌乳量、补乳量、PRL组间比较差异有统计学意义(P<0.05),治疗组优于对照组。结论产后母儿无忧汤可能通过调节生殖激素水平促进乳汁分泌,治疗产后缺乳疗效确切。Objective To observe the clinical effect o Muer Wuyou decoction on postpartum hypogalactia. Methods 90 cases of postpartum hypogalactia were divided into treatment and control groups randomly. Cases in treatment group took Muer Wuyou decoction and control group took Kunyun Tongyu decoction. Changes of lactation quantity, added milk, baby nude body weight, endocrine index were detected. Results The total effective rate in treatment group （86.67%） was higher than that in control group （62.22%, P〈0.05）. There were significant differences between before and after treatment in two groups on lactation quantity, added milk and baby nude body weight. The improvement of lactation quantity, baby nude body weight and PRL were superior to those in control group （P〈0.05）. Conclusion Muer Wuyou decoction may regulate reproductive hormone secretion to facilitate milk secretion,and has better clinical efficacy in treatment of postpartum hypogalactia.

关 键 词：泌乳障碍 中药疗法 

分 类 号：R714.6[医药卫生—妇产科学] R289.6[医药卫生—临床医学]