肠宁汤治疗气血亏虚型产后宫腔积血临床观察  

Efficacy observation of Changning decoction on postpartum hematometra with syndrome of deficiency of both qi and blood

作　　者：周毅 马红裕 李思思 徐平 赵文婉 吕姝菡 ZHOU Yi;MA Hong-yu;LI Si-si(Guizhou University of Traditional Chinese Medicine,Guiyang 550002,China;不详)

机构地区：[1]贵州中医药大学,贵阳550002 [2]贵州中医药大学第一附属医院

出　　处：《山西中医》2025年第2期29-31,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察肠宁汤治疗气血亏虚型产后宫腔积血患者的临床疗效。方法:将符合纳入标准的60例气血亏虚型产后宫腔积血患者随机分为两组各30例。对照组予米索前列醇治疗,治疗组予肠宁汤治疗,疗程均为2周。比较两组患者的总有效率,观察两组治疗前后的腹痛情况、宫腔积血块面积、子宫复旧情况,评估其安全性及药物对患者泌乳的影响。结果:治疗组总有效率为86.7%,高于对照组的63.3%,两组比较差异有统计学意义(P﹤0.05)。治疗后,两组患者腹痛情况、宫腔积血面积、子宫三径长度均优于治疗前水平(P﹤0.05),且治疗组各指标水平均低于对照组(P﹤0.05)。结论:肠宁汤治疗产后宫腔积血患者临床疗效较好。Objective:To observe the clinical efficacy of Changning decoction on postpartum hematometra with syndrome of deficiency of both qi and blood.Methods:60 cases of eligible patients with postpartum hematometra with syndrome of deficiency of both qi and blood were randomly divided into two groups,30 cases in each group.The control group was treated with misoprostol,while the treatment group was treated with Changning decoction.The course of treatment was 2 weeks for both groups.The total effective rate was analyzed and compared between two groups.Abdominal pain,area of hematometra and uterine involution were observed in two groups before and after treatment.Its safety and the influence of drugs on lactation of patients were evaluated.Results:The total effective rate of treatment group was 86.7%,which was higher than 63.3%of control group,and the comparative difference between two groups was statistically significant(P﹤0.05).In both groups after treatment,abdominal pain was relieved,area of hematometra was less and lengths of tri-diameters of uterus were all shorter than pre-treatment(P﹤0.05),and each index of treatment group was better than that of control group(P﹤0.05).Conclusion:The clinical efficacy of Changning decoction on postpartum hematometra is better.

关 键 词：产后宫腔积血 气血亏虚 肠宁汤 中医药疗法 

分 类 号：R714.46[医药卫生—妇产科学]