补中益气汤改善气虚型孕妇胎盘前置状态的临床观察  

Clinical Effect of Buzhong Yiqi Decoction on the Improvement of Placental Previa Status in Pregnant Women with Qi Deficiency

作　　者：赵小凤[1] 孙晓峰[1] 林浪 ZHAO Xiao-feng;SUN Xiao-feng;LIN Lang(Department of Obstetrics,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405)

机构地区：[1]广州中医药大学第一附属医院产科,广东广州510405

出　　处：《世界中西医结合杂志》2022年第12期2450-2453,2459,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：广东省中医药局科研项目(20191100)。

摘　　要：目的观察补中益气汤治疗气虚型孕妇胎盘前置状态的临床疗效。方法选取2019年10月—2020年11月期间在广州中医药大学第一附属医院产科产检并住院分娩的气虚型胎盘前置状态孕妇60例,采用随机数字表法分为观察组和对照组,每组各30例。观察组给予中药补中益气汤加减治疗。对照组仅予以临床观察,如果出现腹痛、阴道出血等症状,给予盐酸利托君注射液治疗。观察比较两组孕妇在孕30周的胎盘位置、孕36周的胎盘位置、剖宫产率、产后出血量、新生儿窒息率、新生儿出生体质量、孕中期至分娩时胎盘迁移量。结果治疗后观察组在孕30周、36周胎盘下缘距宫颈内口距离与对照组比较,差异有统计学意义(P<0.05)。胎盘位置在前壁时,观察组与对照组的胎盘迁移量比较,差异有统计学意义(Z=-2.839,P<0.05);胎盘位置在后壁时,观察组与对照组的胎盘迁移量比较,差异有统计学意义(Z=-3.508,P<0.05)。两组孕妇产后24 h出血量比较,差异有统计学意义(P<0.05);两组孕妇分娩前后血红蛋白比较,差异有统计学意义(P<0.05);两组孕妇在新生儿出生体质量比较,差异有统计学意义(P<0.05);两组孕妇剖宫产率比较,差异无统计学意义(P>0.05);两组孕妇均无新生儿窒息发生。结论补中益气汤能有效改善气虚型孕妇前置状态的胎盘位置,减少产后出血量,且无论胎盘附着于前壁还是后壁,均能取得良好的临床疗效。Objective To explore the clinical effect of Buzhong Yiqi Decoction on placental previa status in pregnant women with qi deficiency.Methods Sixty pregnant women with placental previa status of qi deficiency,who were admitted to the Department of Obstetrics,the First Affiliated Hospital of Guangzhou University of Chinese Medicine for delivery from October 2019 to November 2020,were included and divided into an observation group and a control group by random number table,with 30 cases in each group.The observation group was given the modified Buzhong Yiqi Decoction for treatment.The control group was only given clinical observation,and in case of abdominal pain,vaginal bleeding,and other symptoms,ritodrine hydrochloride injection was given.The placenta position of the two groups at 30 weeks and 36 weeks of gestation were observed.The caesarean section rate,postpartum blood loss,neonatal asphyxia rate,neonatal birth weight,and amount of placental migration from the second trimester to delivery of the two groups were compared.Results After treatment,the distance between lower margin of placenta and cervix of the observation group at 30 weeks and 36 weeks of gestation was statistical different from that of the control group(P<0.05).When the placenta was attached to the anterior wall,the comparison of the amount of placental migration in the two groups was statistical different(Z=-2.839,P<0.05).When the placenta was attached to the posterior wall,the comparison of the amount of placental migration in the two groups was statistical different(Z=-3.508,P<0.05).The difference in the 24-hour postpartum blood loss between the two groups was statistical significant(P<0.05),and the difference in hemoglobin before and after delivery between the two groups was statistical significant(P<0.05).The difference in birth weight between the two groups was statistical significant(P<0.05),whereas there was no statistical difference in the cesarean section rate between the two groups(P>0.05).There was no neonatal asphyxia in the two groups

关 键 词：补中益气汤 气虚型 胎盘前置状态 前置胎盘 产后出血 

分 类 号：R289.5[医药卫生—方剂学] R271.4[医药卫生—中药学]