中西医结合治疗产后恶露不绝患者的临床分析  

A clinical analysis of treating postpartum persistent lochia in the integrative medicine

作　　者：曹芳 Cao Fang

机构地区：[1]费县妇幼保健院,山东费县273400

出　　处：《中医临床研究》2021年第22期90-92,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:研究缩宫素、缩宫逐瘀汤、针刺、穴位注射及耳穴贴压治疗产后恶露不绝患者的价值及临床分析。方法:选择2017年2月-2019年2月在费县妇幼保健院治疗的产后恶露不绝患者总共60例,随机均分为两组。对照组采用常规西药治疗,试验组在西药治疗的基础上联合缩宫逐瘀汤、针刺治疗、穴位注射及耳穴贴压等治疗,比较经过差异化治疗干预各项中医证候积分的差异、阴道出血量的差异和治疗效果。结果:治疗前,两组患者的各项中医证候积分对比,差异无统计学意义(P> 0.05);干预后,试验组各项中医证候积分低于对照组(P <0.05);治疗后,试验组患者阴道的出血量比对照组少(P <0.05);试验组患者炎性因子水平显著高于对照组,P <0.05。试验组临床总有效率显著高于对照组,P <0.05。结论:对产后恶露不绝患者施行缩宫素、缩宫逐瘀汤、针刺治疗、穴位注射及耳穴贴压治疗,有利于患者症状的改善,可改善患者血清炎性水平,显著降低患者的阴道出血量,效果显著,值得推广。Objective:To study the efficacy of oxytocin,the Shuogong Zhuyu decoction(缩宫逐瘀汤),acupuncture,acupoint injection and auricular-plaster therapy on postpartum lochiorrhea.Methods:60 cases were randomly divided into two groups.The control group was treated with conventional Western medicine,and the experimental group was given the Shuogong Zhuyu decoction,acupuncture,acupoint injection,and auricular-plaster therapy on the basis of Western medicine treatment.Results:After the intervention,the scores of various TCM syndromes in the experimental group were lower than those in the control group(P<0.05).After treatment,the amount of vaginal bleeding in the experimental group was less than the control group(P<0.05);the level of inflammatory factors in the experimental group was significantly higher than the control group,P<0.05.The total clinical efficiency in the experimental group was significantly higher than the control group,P<0.05.Conclusion:Oxytocin,the Shugong Zhuyu decoction,acupuncture,acupoint injection and auricularplaster therapy on postpartum lochiorrhea can improve symptoms,serum inflammatory levels,and significantly reduce vaginal bleeding.It is worthy of promotion.

关 键 词：产后恶露不绝 缩宫逐瘀汤 针刺治疗 穴位注射 耳穴贴压 

分 类 号：R271.43[医药卫生—中医妇科学]