益气养阴方联合针灸治疗对剖宫产术后阴虚发热的临床效果  

Clinical effect of Yiqi Yangyin prescription and acupuncture therapy on Yin deficiency and fever after cesarean section

作　　者：曹文娇 欧阳婧[1] CAO Wenjiao;OUYANG Jing(Department of Gynecology,International Peace Maternal and Child Health Hospital,Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属国际和平妇幼保健院妇科,上海200030

出　　处：《新疆医科大学学报》2023年第3期404-408,共5页Journal of Xinjiang Medical University

基　　金：上海市科学技术科研计划项目(19401902510)。

摘　　要：目的 探讨益气养阴方联合针灸治疗剖宫产术后阴虚发热的临床应用价值及超声监测下切口愈合情况。方法 采用随机数字表法将上海交通大学医学院附属国际和平妇幼保健院妇科收治的100例剖宫产术后阴虚发热患者分为对照Ⅰ组(33例)、对照Ⅱ组(33例)与治疗组(34例)。对照Ⅰ组给予常规西医治疗,对照Ⅱ组给予常规西医+益气养阴方治疗,治疗组给予常规西医+益气养阴方+针灸治疗。对比3组临床疗效、康复时间、治疗安全性及治疗前后生化指标[白细胞计数(White blood cell count, WBC)、C反应蛋白(C-reactive protein, CRP)、降钙素原(Procalcitonin, PCT)]变化,随访至术后42 d,对比3组超声监测下子宫切口愈合情况与子宫复旧情况。结果 (1)临床疗效:治疗组临床疗效总有效率(100.0%)较对照组Ⅰ组(81.82%)、对照Ⅱ组(93.94%)高(P<0.05)。(2)生化指标:治疗3 d后3组WBC、CRP及PCT水平均较治疗前下降,且治疗组较对照Ⅰ组与对照Ⅱ组低,对照Ⅱ组较对照Ⅰ组低(P<0.05)。(3)康复时间:治疗组退热时间、住院时间较对照Ⅰ组与对照Ⅱ组短,且对照Ⅱ组较对照Ⅰ组短(P<0.05)。(4)超声监测指标:治疗组子宫切口愈合良好率(100.0%)较对照Ⅰ组(87.88%)高,子宫复旧良好率(97.06%)较对照Ⅰ组(84.85%)高(P<0.05)。(5)安全性:3组均未见明显不良反应。结论 益气养阴方联合针灸治疗剖宫产术后阴虚发热效果显著,有利于减轻术后炎症反应,缩短退热与住院时间,促进子宫切口愈合与子宫复旧,且安全性高。Objective To explore the clinical application value of Yiqi Yangyin recipe combined with acupuncture and moxibustion in the treatment of fever due to Yin deficiency after cesarean section and wound healing under ultrasonic monitoring.Methods 100 patients with Yin deficiency and fever admitted to the hospital,and the patientswere divided into control groupⅠ(33 cases),control group(33 cases)and treatment group(34 cases).The control groupⅠwas treated with conventional western medicine,the control groupⅡwas treated with conventional western medicine+Yiqi Yangyin formula,and the treatment group was treated with conventional western medicine+Yiqi Yangyin formula+acupuncture.The clinical efficacy,recovery time,treatment safety and changes of biochemical indexes[white blood cell count(WBC),C-reactive protein(CRP)and procalcitonin(PCT)]before and after the treatment were compared in the three groups.The patients were followed up to 42 days after the operation,and the healing of uterine incision and uterine involution monitored by ultrasound were compared in the three groups.Results(1)Clinical efficacy:the total effective rate of clinical efficacy in the treatment group(100.0%)was higher than that in the control group I(81.82%)and the control group II(93.94%)(P<0.05).(2)Biochemical indexes:after 3 days of the treatment,the levels of WBC,CRP and PCT in the three groups were decreased comparing with those before the treatment,and the levels of WBC,CRP and PCT in the treatment group were lower than those in the control groupⅠandⅡ,and those in the control groupⅡwere lower than those in the control groupⅠ(P<0.05).(3)Recovery time:the fever relief time and hospitalization time in the treatment group were shorter than those in the control groupⅠandⅡ,and those in the control groupⅡwere shorter than those in the control group I(P<0.05).(4)Ultrasonic monitoring indicators:the good rate of uterine incision healing(100.0%)in the treatment group was higher than that in the control groupⅠ(87.88%),and the good rate

关 键 词：阴虚发热 益气养阴方 切口愈合程度 子宫复旧 

分 类 号：R719[医药卫生—妇产科学]