中西医结合治疗产后恶露不绝的临床观察  

Treatment of Postpartum Lochia by Integrated Chinese and Western Medicine

作　　者：靳蕊蕊 许晓英[1] 杨德花 王文玲[1] 郝曼 吴岐珍[1] JIN Rui-rui;XU Xiaoying;YANG De-hua;WANG Wen-ling;HAO Man;WU Qi-zhen(Perinatal Medicine Center,Gansu Provincial Maternity and Childcare Hospital,Lanzhou 730050)

机构地区：[1]甘肃省妇幼保健院围产医学中心,兰州730050

出　　处：《中国中西医结合杂志》2021年第12期1441-1444,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：2020年甘肃省卫生健康行业科研项目(No.GSWSKY2020-32)。

摘　　要：目的观察缩宫素联合通乳汤合生化汤治疗产后恶露不绝的临床效果,同时观察其对泌乳的影响。方法600例均为2020年3—9月在甘肃省妇幼保健院围产医学中心住院分娩的产妇,采用随机数字表法分为观察组(300例)和对照组(300例)。观察组产妇采用缩宫素联合通乳汤合生化汤方案治疗,对照组单用缩宫素治疗,持续治疗10天。观察两组恶露评分,用药3天后宫底下降情况及用药10天后子宫复旧情况,用药3、10天后泌乳情况、乳房的充盈情况,观察有无不良反应。结果用药3、10天后,观察组恶露评分低于对照组(P<0.05);两组产妇在产后3天宫底下降高度上观察组优于对照组(P<0.05),两组产妇在产后10天子宫是否降入盆腔内情况比较,差异无统计学意义(P>0.05)。用药3、10天的泌乳量评分及乳房饱满度评分优于对照组(P<0.05)。用药过程中无明显不良反应。结论缩宫素联合通乳汤合生化汤能有效治疗产后恶露不绝,增加产后泌乳量;且无明显不良反应。Objective To observe the clinical effect of oxytocin combined with Tongru Decoction and Shenghua Decoction(TRD+SHD)in treatment of postpartum lochia,and to observe its effect on lactation as well.Methods Totally 600 puerpera who gave birth at Perinatal Medicine Center,Gansu Provincial Maternity and Childcare Hospital from March 2020 to September 2020 were assigned to an observation group(300 cases)and a control group(300 cases)using random number table.Parturients in the observation group were treated with oxytocin combined with TRD+SHD,while those in the control group were treated with oxytocin alone.Both treatment lasted for 10 successive days.The lochia scores of the two groups were observed.The decline in the fundus of the uterus after 3 days of medication and the involution of the uterus after 10 days of medication were also observed.The lactation and breast filling after 3 and 10 days of medication were observed.Adverse reactions were observed as well.Results After 3 and 10 days of medication,the score of lochia in the observation group was lower than that of the control group(P<0.05).The height of uterine fundus drop on postpartum 3rd day was better in the observation group than in the control group(P<0.05).There were no statistical differences in whether the uterus descended into the pelvic cavity between the two groups(P>0.05).The lactation volume score and breast fullness score on the 3rd and 10th day of medication were better in the observation group than in the control group(P<0.05).There were no obvious adverse reactions during medication.Conclusion Oxytocin combined TRD+SHD effectively treated postpartum lochia,aad improved postpartum lactation,with no obvious adverse reactions.

关 键 词：通乳汤合生化汤 缩宫素 产后 恶露不绝 中西医结合 

分 类 号：R714.46[医药卫生—妇产科学]