产妇康颗粒对高龄产妇剖宫产术后子宫复旧的影响  

Effects of Chanfukang granule on the involution of uterus in elderly parturients after cesarean section

作　　者：倪素娜 刘晓艳 梁燕茹 NI Suna;LIU Xiaoyan;LIANG Yanru(Shijiazhuang Hospital for Maternal and Child Health.Hebei,Shijiazhuang 050051,China)

机构地区：[1]河北省石家庄市妇幼保健院,050051

出　　处：《河北医药》2020年第8期1203-1205,1209,共4页Hebei Medical Journal

摘　　要：目的研究产妇康颗粒对高龄产妇剖宫产术后子宫复旧的影响。方法选取2018年1月至2019年1月定期产前检查并行剖宫产术分娩的高龄产妇100例,依据随机数字表法分为产妇康组及对照组,每组50例。2组产妇剖宫产术后均给予常规处置,产妇康组术后在常规处置的基础上给予产妇康颗粒口服治疗,对比2组产妇剖宫产术后血性恶露量及恶露持续时间,使用称重法计算产后血性恶露量;测量术后当时及术后第1、3、6天子宫宫底下降高度;于剖宫产术后6周复查彩超,测量并计算子宫三径线和值;对比2组剖宫产术后第1、5天凝血酶四项指标及D-D水平变化;并参照《妇产科学》及《中医临床病证诊断疗效标准》制定子宫复旧疗效标准,以评价治疗后子宫复旧情况。结果产妇康组剖宫产术后血性恶露量少于对照组(P<0.05),血性恶露持续时间及恶露持续时间均低于对照组(P<0.05);产妇康组剖宫产术后第1、3、5天时子宫宫底下降高度均优于对照组(P<0.05);产妇康组剖宫产术后6周时子宫三径线和值低于对照组(P<0.05);产妇康组剖宫产术后第5天时TT高于对照组(P<0.05),Fib及D-D水平均低于对照组(P<0.05);2组剖宫产术后第5天时PT、APTT水平比较差异无统计学意义(P>0.05);产妇康组疗程结束时子宫复旧良好率高于对照组(P<0.05)。结论产妇康颗粒可加快高龄产妇剖宫产术后子宫复旧,减少血性恶露量及持续的时间,促进产妇身体康复,值得临床推广应用。Objective To investigate the effects of Chanfukang granule on the involution of uterus in elderly parturients after cesarean section.Methods A total of 100 elderly pregnant women,who were admitted to receive regular prenatal examination in our hospital from January 2018 to January 2019 who underwent cesarean section in our hospital,were randomly divided into Chanfukang group and control group,with 50 cases in each group.The patients in both groups were given routine treatments after cesarean section.On this basis,the patients in Chanfukang group were orally administrated with Chanfukang granules.The amount of blood lochia and the lochia duration after cesarean section were observed and compared between the two groups.The weighing method was used to calculate the amount of blood lochia.The descent height of the uterine fundus immediately after operation and at 1d,3d,and 6d after operation was measured.The color Doppler ultrasound examination was performed at 6 weeks after operation.The uterine triaxial line and value were measured and calculated.Moreover the four indexes of thrombin and D-D levels at 1d and 5d after operation were observed and compared between the two groups.According to the《Obstetrics and Gynecology》and《Efficacy Criteria for the Clinical Diseases and Syndromes of TCM》,the efficacy criteria for uterus involution was formulated in order to evaluate the uterus involution status after cesarean section.Results The amount of blood lochia after after cesarean section in Chanfukang group was significantly less than that in control group(P<0.05),and the bloody lochia and lochia duration were significantly lower than those in control group(P<0.05).The descent height of uterine fundus at 1d,3d,and 5d after cesarean section in Chanfukang group was superior to that in control group(P<0.05).Moreover the uterine triaxial line and value at 6 weeks after operation in Chanfukang group were significantly lower than those in control group(P<0.05).In addition the TT levels at 5d after operation in Chanfukang

关 键 词：产妇康颗粒 高龄产妇 子宫复旧 

分 类 号：R719.8[医药卫生—妇产科学]