益气升提方及穴位贴敷疗法联合McDonald术对宫颈机能不全患者的疗效  

Effects of Qi-Promoting and Uplifting Formula and acupoint application therapy combined with McDonald surgery on patients with cervical incompetence

作　　者：易秋红 李勤[1] Yi Qiuhong;Li Qin(Department of Maternity,Jiangxi Maternal and Child Health Hospital,Nanchang,Jiangxi 330008,China)

机构地区：[1]江西省妇幼保健院产科,江西南昌330008

出　　处：《中国药物与临床》2024年第5期278-281,共4页Chinese Remedies & Clinics

基　　金：江西省中医药管理局科技计划项目(2021B015)。

摘　　要：目的观察益气升提方及穴位贴敷疗法联合McDonald术对宫颈机能不全(cervical incompetence,CIC)患者的治疗效果。方法按照治疗方法将江西省妇幼保健院60例行McDonald术的CIC患者分为研究组、对照组。对照组行指南临床现有治疗,研究组加用益气升提方及中药贴敷疗法。观察2组患者流产率、早产率、足月产率、分娩孕周、胎膜早破率、感染率、宫颈裂伤率。结果研究组足月生产率(χ^(2)=6.787,P=0.009)、分娩孕周(t=2.979,P=0.042)均高于对照组,早产率(χ^(2)=5.455,P=0.020)、感染率(χ^(2)=4.706,P=0.030)、胎膜早破率(χ^(2)=4.812,P=0.028)均低于对照组,差异均有统计学意义(P均<0.05)。研究组的流产率(χ^(2)=0.480,P=0.488)、宫颈裂伤率(χ^(2)=0.268,P=0.605)虽低于对照组,但差异无统计学意义(P>0.05)。结论CIC患者,孕12~24周择期行宫颈环扎术治疗,术后加用益气升提方及穴位贴敷疗法可降低感染率、胎膜早破、早产率,延长妊娠孕周,提高胎儿足月生产率,达到改善妊娠结局的目的。Objective To observe the therapeutic effect of Qi-promoting and uplifting formula and acupoint application therapy combined with McDonald surgery on patients with cervical incompetence(CIC).Methods According to the treatment,a total of 60 patients with CIC who underwent McDonald surgery were categorised into the study group and the control group in Jiangxi Maternal and Child Health Hospital.The control group received the current clinical treatment,while the research group received additional Qi-promoting and uplifting formula and traditional Chinese medicine plaster therapy.The abortion rate,preterm birth rate,term birth rate,gestational weeks of delivery,premature rupture of membranes rate,infection rate,and cervical laceration rate of the both groups were observed.Results The full-term productivity(χ^(2)=6.787,P=0.009)and gestational age of delivery(t=2.979,P=0.042)in the study group were significantly higher than those in the control group,while the preterm birth rate(χ^(2)=5.455,P=0.020),infection rate(χ^(2)=4.706,P=0.030),and premature rupture of membranes rate(χ^(2)=4.812,P=0.028)were significantly lower than those in the control group.The differences were statistically significant(all P<0.05).Although the abortion rate(χ^(2)=0.480,P=0.488)and cervical laceration rate(χ^(2)=0.268,P=0.605)in the research group were lower than those in the control group,the differences were not statistically significant(P>0.05).Conclusion For CIC patients,if McDonald surger is performed during the 12th to 24th week of pregnancy,and Qi-promoting and uplifting formula and acupoint application therapy are added postoperatively,it can help reduce the infection rate,the rate of premature rupture of membranes,and the preterm birth rate,while prolonging the gestational weeks and increasing the full-term birth rate.This combination of treatments aims to achieve an improved pregnancy outcome.

关 键 词：益气升提方 穴位贴敷疗法 McDonald术 宫颈机能不全 

分 类 号：R271.9[医药卫生—中西医结合]