盆腔炎中药方联合头孢呋辛钠治疗剖宫产术后盆腔血肿临床研究  

Clinical Study on Chinese Medicine Prescription for Pelvic Inflammation Combined with Cefuroxime Sodium for Pelvic Hematoma after Cesarean Section

作　　者：任红英[1] 王纪军[1] REN Hongying;WANG Jijun

机构地区：[1]安吉县妇幼保健院

出　　处：《新中医》2019年第12期175-178,共4页New Chinese Medicine

摘　　要：目的:探究盆腔炎中药方联合头孢呋辛钠治疗剖宫产术后盆腔血肿的临床效果。方法:选取剖宫产术后发生盆腔血肿的患者30例,按照数字表法分为对照组14例和观察组16例。对照组给予头孢呋辛钠治疗,观察组在对照组基础上加予盆腔炎中药方治疗,对比分析2组患者的血常规指标及C-反应蛋白水平、盆腔血肿直径、视觉模拟评分法(VAS)评分、体温和焦虑情绪改善情况及血肿消失时间。结果:治疗后,对照组中性粒细胞计数、血清C-反应蛋白水平、血肿直径及VAS评分较治疗前降低(P<0.05,P<0.01);观察组白细胞计数、中性粒细胞计数、血清C-反应蛋白水平、血肿直径及VAS评分较同组治疗前及对照组治疗后均降低,差异均有统计学意义(P<0.01,P<0.05)。2组体温都有所降低,但差异无统计学意义(P>0.05)。观察组治疗后的焦虑自评量表(SAS)评分和血肿消失时间较对照组改善更明显,差异有统计学意义(P<0.01,P<0.05)。结论:盆腔炎中药方联合头孢呋辛钠治疗剖宫产术后盆腔血肿的临床效果明显,可显著促进血肿吸收、消失,患者血常规指标恢复良好,临床疼痛症状明显减轻,焦虑情绪也得到较好缓解,同时血肿消失时间明显缩短,值得临床推广使用。Objective:To discuss the clinical effect of Chinese medicine prescription for pelvic inflammation combined with cefuroxime sodium for pelvic hematoma after cesarean section.Methods:A total of 30 cases of patients with pelvic hematoma after cesarean section were divided into the control group and the observation group according to the random number table method,14 and 16 cases in each group respectively.The control group was treated with cefuroxime sodium,and the observation group was additionally treated with Chinese medicine prescription for pelvic inflammation based on the treatment of the control group.The blood routine indexes and the level of C-reactive protein(CRP),the diameter of pelvic hematoma,the scores of visual analogue scale(VAS),the improvement of body temperature and anxiety as well as the disappearance time of hematoma in the two groups were compared and analyzed.Results:After treatment,the neutrophil count,the CRP in serum,the diameter of hematoma and the score of VAS in the control group were decreased when compared with those before treatment(P<0.05,P<0.01);the above indexes and white blood count in the observation group were decreased when compared with those before treatment and those in the control group after treatment respectively,differences being significant(P<0.01,P<0.05).The body temperatures in the two groups were decreased,but there was no significance in the difference(P>0.05).After treatment,the scores of self-rating anxiety scale(SAS)and the disappearance time of hematoma in the observation group were significantly lower and shorter than those in the control group,the difference being significant(P<0.01,P<0.05).Conclusion:The therapy of Chinese medicine prescription for pelvic inflammation combined with cefuroxime sodium has significant curative effect in treating pelvic hematoma after cesarean section,which can effectively promote absorption and disappearance of hematoma.Patients after treatment can have their blood routine indexes restored well,clinical pain symptoms significant

关 键 词：剖宫产 盆腔血肿 盆腔炎中药方 头孢呋辛钠 

分 类 号：R714.46[医药卫生—妇产科学]