中西医结合治疗血瘀型产后发热临床疗效及其安全性评价  

Clinical Efficacy and Safety Evaluation of Integrated Traditional Chinese and Western Medicine for Postpartum Fever and Blood Stasis

作　　者：余军辉[1] 周荷玲 

机构地区：[1]台州医院妇产科,浙江台州317000

出　　处：《中华中医药学刊》2016年第1期254-256,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨自拟中药汤剂联合西药治疗血瘀型产后发热患者临床疗效及其安全性。方法:640例血瘀型产后发热患者根据随机分组法分为观察组和对照组各320例。对照组采用西药治疗,观察组在对照组基础上结合自拟中药汤剂。两组疗程均为3 d。对比分析两组疗效、体温降至正常例数、白细胞计数及其安全性评价。结果:观察组总有效率(92.50%)显著高于对照组(78.13%)(P<0.05);观察组退热时间显著快于对照组(P<0.05);观察组治疗1、2、3 d体温降至正常率显著高于对照组(P<0.05);两组白细胞计数治疗1、2、3 d显著低于各组间治疗前(P<0.05);观察组白细胞计数治疗1、2、3 d显著低于同期对照组(P<0.05);观察组不良反应发生率显著低于对照组(P<0.05)。结论:自拟中药汤剂联合西药治疗血瘀型产后发热患者临床疗效显著,不良反应少,安全可靠。Objective： To investigate the clinical efficacy and safety of self- made decoction combined with western medicine for postpartum fever and blood stasis. Methods： 640 cases of postpartum fever and blood stasis patients were randomly divided into observation group（ n = 320） and control group（ n = 320）. The control group was treated with western medicine and the observation group added self- made decoction. The treatment lasted 3 d. The two groups＇ cases which dropped to normal body temperature,white blood cell count and safety were compared. Results： The overall response rate（ 92. 50%） in the observation group was significantly higher than the control group（ 78. 13%）（ P〈 0. 05）. The cooling time in observation group was significantly faster than the control group＇s（ P〈 0. 05）. In the observation group after 1d,2 d and 3 d treatment,the rate of temperature dropped to normal was significantly higher（ P〈 0. 05）. Two groups＇ white blood cell count after treatment for 1 d,2 d and 3 d was significantly lower among groups than those before treatment（ P〈 0. 05）. White blood cell count in the observation group after treatment for 1 d,2 d and 3 d was significantly lower than those in the control group（ P〈 0. 05）. The incidence of adverse reactions in observation group was significantly lower than the control group＇s（ P〈 0. 05）. Conclusion： Self- made decoction combined with western medicine has clinical efficacy in patients with postpartum fever and blood stasis and few significant adverse reactions,safe and reliable.

关 键 词：产后发热 血瘀型 中西医结合 疗效 安全性 

分 类 号：R271.43[医药卫生—中医妇科学]