生化汤联合揿针疗法对剖宫产产妇子宫复旧及泌乳的影响  

Effect of Shenghua Decoction Combined with Thumb-Tack Needle Therapy on Uterine Involution and Lactation in Parturients After Cesarean Section

作　　者：杨婧淇 聂桂兰 YANG Jingqi;NIE Guilan(Department of Obstetrics,Jinhua Maternal and Child Health Care Hospital,Jinhua Zhejiang 321000,China)

机构地区：[1]金华市妇幼保健院产科,浙江金华321000

出　　处：《新中医》2024年第20期27-30,共4页New Chinese Medicine

摘　　要：目的:研究生化汤联合揿针疗法对剖宫产产妇子宫复旧的临床疗效以及对泌乳的影响。方法:观察对象为2020年3月—2022年12月金华市妇幼保健院收治的剖宫产后子宫复旧不全患者,共80例。采用随机分组方式将患者分为对照组与研究组各40例,对照组采用生化汤治疗,研究组采用生化汤联合揿针疗法治疗。比较2组宫底下降情况、泌乳评分、治疗后恶露持续时间,以及中医证候积分。结果:研究组治疗1 d、3 d、6 d及12 d后,宫底高度均低于同期对照组,差异均有统计学意义(P<0.05)。研究组治疗1 d、3 d、6 d及12 d后泌乳评分均高于同期对照组,差异均统计学意义(P<0.05)。研究组治疗后恶露持续时间<15 d的例数百分比多于对照组,差异有统计学意义(P<0.05);治疗后恶露持续15~30 d及>30 d的例数百分比均少于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组中医证候积分低于对照组,差异有统计学意义(P<0.05)。结论:生化汤联合揿针疗法能提高剖宫产产妇子宫复旧的临床疗效,提高泌乳功能,改善中医证候。Objective:To study the clinical effect of the combination use of Shenghua Decoction and thumb-tack needle therapy on uterine involution and lactation of parturients after cesarean section and its effect on lactation.Methods:The subjects observed were 80 patients with incomplete uterine involution after cesarean section admitted to Jinhua Maternal and Child Health Care Hospital from March 2020 to December 2022.The patients were divided into the control group and the study group according to the randomized grouping method,with 40 cases in each group.The control group was treated with Shenghua Decoction,and the study group was treated with Shenghua Decoction combined with thumb-tack needle therapy.The decrease of uterine fundus,lactation scores,duration of lochia after treatment and traditional Chinese medicine syndrome scores were compared between the two groups.Results:After 1,3,6 and 12 days of treatment,the height of uterine fundus in the study group was lower than that in the control group at the same time,differences being significant(P<0.05).After 1,3,6 and 12 days of treatment,the lactation score in the study group was respectively higher than that in the control group,differences being significant(P<0.05).The percentage of cases with lochia lasting for less than 15 days after treatment in the study group was more than that in the control group,the difference being significant(P<0.05);after treatment,the percentage of cases with lochia lasting for 15-30 days and more than 30 days was less than that in the control group,differences being significant(P<0.05).After treatment,the traditional Chinese medicine syndrome scores in the study group were lower than those in the control group,the difference being significant(P<0.05).Conclusion:The combination use of Shenghua Decoction and thumb-tack needle therapy can enhance the clinical effect on uterine involution of parturients after cesarean section,and improve the lactation function and traditional Chinese medicine syndromes.

关 键 词：剖宫产 子宫复旧不全 生化汤 揿针疗法 宫底高度 泌乳评分 

分 类 号：R714.46[医药卫生—妇产科学]