清热通乳法治疗热毒蕴结型缺乳病的临床观察  

THE CLINICAL OBSERVATION ON POSTPARTUM HYPOGALACTIA WITH THE ACCUMULATED HEAT-TOXIN BY THE METHOD OF INFLAMMATION-REDUCTION AND LACTATION-PROMOTION

作　　者：司亚茹 张颖[2] 

机构地区：[1]河北省唐山市中医医院,063000 [2]唐山市妇幼保健院

出　　处：《中国煤炭工业医学杂志》2017年第6期719-722,共4页Chinese Journal of Coal Industry Medicine

基　　金：河北省中医药管理局科研计划项目(编号:2015237)

摘　　要：目的探讨根据清热通乳法自拟中药组方对热毒蕴结型缺乳病的临床疗效。方法选择唐山市中医医院妇产科符合纳入标准的热毒蕴结型缺乳病住院患者120例,遵循随机盲法对照研究的原则,分为观察组与对照组各60例。对照组应用清热解毒颗粒+益母草冲剂,连服14d为一个评估疗程。观察组根据清热通乳法自拟中药组方,水煎剂,每日一剂,每剂水煎300ml,每次服150ml,早晚各服一次。连服14d为一个评估疗程。治疗后观察二组临床疗效以及安全性。结果观察组患者24h内开始泌乳者占51.7%,明显高于对照组(31.7%),且观察组每天泌乳增加量(347.9±58.9)ml也高于对照组(223.9±35.6)ml,差异均有统计学意义(P<0.05);观察组86.7%的婴儿可达到安静无觅食状态,高于对照组70.0%(P<0.05)。对照组有效率为83.33%,观察组有效率为98.33%,二组有效率比较,观察组总有效率明显高于对照组(P<0.05),且具有较高的安全性。结论根据清热通乳法自拟中药组方治疗热毒蕴结型缺乳病,具有较好的临床疗效。Objective To explore the clinical effect of self- made Chinese medicine for postpartum hypogalactia with the accumulated heat- toxin by the method of inflammation- reduction and lactation- promotion. Methods Totally 120 cases of postpartum hypogalactia with the accumulated heat- toxin were selected, which were treated in author＇s hospital. These cases were randomly divided into treatment group （60 cases） and control group （60 cases）. The control group was treated with Detoxification Granule plus Motherwort Granules, 14 days was an assessment of treatment. The treatment group was treated with Self- made Chinese medicine, water decoction, daily one dose, each water decoction 300ml, each serving 150ml, 14 days was an assessment of treatment. After treatment, the clinical efficacy and security of the two groups were observed. Results 51.7% cases of the treatment group started lactation in 24 hours,significantly higher than the control group （31.7%）,the difference was statistically significant （P 〈0.05）. In the control group, the increase of lactation was （223.9 ± 35.6） ml,the treatment group was （347.9 ± 58.9） ml,the difference was statistically significant （P 〈0.05 ）. In the treatment group,86.7 percent of infants were quiet and foraging, higher than the control group （70%）,and the difference was statistically significant （P〈0.05）. The effective rate of control group was 83.33 % ,and the effective rate of the treatment group was 98.33%, the total effective rate of the treatment group was significantly higher than the control group, and there was significant difference between the two groups （P 〈0.05 ）. But there were no essential differences between the two groups on the incidence of adverse reactions of the treatment,and it has higher security. Conclusion There are preferable clinical curative effect of postpartum hypogalactia with the accumulated heat- toxin by the method of inflammation- reduction and lactation- promotion.

关 键 词：清热通乳法 热毒蕴结型 缺乳病 临床疗效 

分 类 号：R243[医药卫生—中医临床基础]