加味生化汤促进剖宫产术后子宫复旧的临床观察  

Clinical Observation of Modified Shenghua Decoction on Promoting Uterine Instauration After Cesarean Section

作　　者：王淑平[1] 陈宝艳[1] 李道成[1] 柯晓燕[1] 

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2015年第4期671-673,共3页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20131230)

摘　　要：【目的】探讨自拟方加味生化汤促进剖宫产术后子宫复旧的临床疗效。【方法】将300例剖宫产产妇随机分为观察组和对照组各150例,观察组术后口服自拟方加味生化汤,对照组术后肌注缩宫素。测量子宫缩复情况,观察恶露量,并超声检查子宫复旧情况。【结果】(1)剖宫产术后72 h、120 h,观察组的子宫缩复情况好于对照组,差异有统计学意义(P<0.05)。(2)剖宫产术后42 d内,观察组恶露干净137例(91.33%),对照组恶露干净109例(72.67%),观察组术后恶露持续时间短于对照组,差异有统计学意义(P<0.05)。(3)剖宫产术后第5天,B超测量子宫三径之和,观察组小于对照组,但差异无统计学意义(P>0.05);术后第42天,测量子宫三径之和,观察组显著小于对照组,差异有统计学意义(P<0.05)。(4)剖宫产术后42 d,观察组的宫腔积液发生率为6.67%,对照组为17.33%,差异有统计学意义(P<0.05)。【结论】自拟方加味生化汤对促进剖宫产术后子宫复旧疗效确切,值得临床推广应用。Objective To observe the curative effect of modified Shenghua Decoction on promoting uterine instauration after cesarean section. Methods A total of 300 parturient cases receiving cesarean section were evenly randomized into observation group and control group. After cesarean section, patients of observation group were given modified Shenghua Decoction orally, and those of the control group were given intramuscular injection of oxytocin. The observation indexes included uterine retraction, the amount of lochia, and ultrasound examination for uterine instauration. Results（1） In the observation group, uterine contraction 72, 120 h after cesarean section was better than that of the control group, and the difference was statistically significant（P〈0.05）.（2） Lochia stopping occurred in 137（91.33%） cases of observation group and in 109（72.67%） cases of control group within 42 days after cesarean section. The duration of lochia in observation group was shorter than that in the control group（P〈0.05）.（3） Five days after cesarean section, the sum of length, anteroposterior dimension,and transverse diameter of the uterus in the observation group was less than the control group, but the difference was insignificant（P〉0.05）. Forty-two days after cesarean section, the sum of the three uterine diameters in the observation group significantly differed from that of the control group（P〈0.05）.（4） Forty-two days after cesarean section, the incidence of uterine cavity effusion was 6.67% in the observation group, and was 17.33% in the control group, the difference being statistically significant（P〈0.05）. Conclusion The modified Shenghua Decoction has certain curative effect on promoting uterine instauration after cesarean section.

关 键 词：生化汤 剖宫产 子宫复旧 

分 类 号：R271.9[医药卫生—中西医结合]