辨中医体质科学“坐月子”预防产褥期常见病的效果观察  

Preventive effect of scientifically resting indoors for one month after childbirth based on puerperae′s traditional Chinese medicine constitutions on common diseases in puerperium

作　　者：冷嫦娥 柴思锋 鞠爱萍[1] 熊俊艳[1] 钟晶[1] 黄婉茹[1] 岳玉焕[1] LENG Chang-e;CHAI Si-feng;JU Ai-ping;XIONG Jun-yan;ZHONG Jing;HAUNG Wan-ru;YUE Yu-huan(Department of Obstetrics,Guangzhou Huadu District Maternal and Child Health Hospital/Huzhong Hospital,Guangzhou 510800,China)

机构地区：[1]广东省广州市花都区妇幼保健院(胡忠医院)产科,广州市510800

出　　处：《广西医学》2021年第18期2176-2179,共4页Guangxi Medical Journal

基　　金：广东省广州市花都区医疗卫生一般科研专项(18-HDWS-001)。

摘　　要：目的观察辨中医体质给予产妇"月子28方"中药药膳调养联合科学"坐月子"预防产褥期常见病的效果。方法将2810例产妇随机分为对照组和观察组,每组1405例。对照组产妇按常规科学"坐月子",观察组产妇在对照组的基础上根据其中医体质类型给予相应的"月子28方"中药药膳调养,即28剂药膳,食用28 d。"坐月子"结束后,观察两组产妇产褥期常见病发生率及产后抑郁、焦虑情况。结果观察组产妇产褥期便秘、失眠、上呼吸道感染、异常出汗、产后身痛发生率均低于对照组,纯母乳喂养率高于对照组,恶露干净时间短于对照组(均P<0.05);观察组产妇贝克抑郁自评量表、焦虑自评量表评分均低于对照组,抑郁程度、焦虑程度圴低于对照组(均P<0.05)。结论辨中医体质科学"坐月子"能有效地预防产褥期常见病的发生,改善产妇产后抑郁、焦虑情绪。Objective To observe the preventive effect of scientifically resting indoors for one month after childbirth combined with puerperae′s reception of aftercare with traditional Chinese drug medicated diet,Yue Zi 28 Fang,based on their traditional Chinese medicine(TCM)constitutions against common diseases in puerperium.Methods A total of 2810 puerperae were randomly divided into control group and observation group,with 1405 cases in each group.Puerperae in the control group took conventional scientifically resting indoors for one month after childbirth,based on which puerperae in the observation group were given corresponding aftercare with traditional Chinese drug medicated diet,Yue Zi 28 Fang,for 28 days,totaling 28 doses of medicated diet,according to the TCM constitution of the puerperae.After resting indoors for a month,the incidence rates of common diseases in puerperium and the conditions of postpartum depression and anxiety of the puerperae were observed in the two groups.Results The observation group exhibited lower incidence rates of puerperium constipation,insomnia,upper respiratory tract infection,abnormal sweating,and postpartum body pain,a higher rate of exclusive breast-feeding,and shorter duration for lochia exhausted as compared with the control group(all P<0.05);the observation group yielded lower scores on the Baker Depression Inventory and the Self-Rating Anxiety Scale,and decreased degrees of depression and anxiety than the control group(all P<0.05).Conclusion scientifically resting indoors for one month after childbirth based on puerperae′s of TCM constitution can effectively prevent the occurrence of puerperium common diseases and improve postpartum depression and anxiety emotion of the puerperae.

关 键 词：产褥期 辨中医体质 坐月子 产褥期保健 药膳 

分 类 号：R715.3[医药卫生—妇产科学]