黄芪山药粥联合中药穴位贴敷治疗剖宫产后气虚证患者恶露不绝疗效观察  

Clinical Observation on Huangqi Shanyao Porridge Combined with Herbal Acupoint Application on Lochiorrhea in Caesarean Section Patients of Qi-deficiency Pattern

作　　者：郑胜侠 赵丙花 胡宁宁 陈蕾 ZHENG Shengxia;ZHAO Binghua;HU Ningning;CHEN Lei(Langfang Maternal and Child Health Hospital,Langfang 065000,China;Langfang Traditional Chinese Medicine Hospital,Langfang 065000,China;Hebei Petro China Central Hospital,Langfang 065000,China)

机构地区：[1]廊坊市妇幼保健院,河北廊坊065000 [2]廊坊市中医医院,河北廊坊065000 [3]河北中石油中心医院,河北廊坊065000

出　　处：《西部中医药》2025年第2期146-148,共3页Western Journal of Traditional Chinese Medicine

基　　金：河北省卫生健康委员会科研项目(20191351)。

摘　　要：目的:观察黄芪山药粥联合中药穴位贴敷治疗剖宫产后气虚证患者恶露不绝的临床疗效。方法:将剖宫产后恶露不绝患者104例按照随机数字表法分为对照组和治疗组各52例。对照组予常规治疗方案,治疗组在对照组基础上予黄芪山药粥联合中药穴位贴敷,连续治疗2周后比较两组患者恶露情况、气虚证单项指标评分、子宫复旧相关指标及临床疗效。结果:治疗后治疗组患者血止例数较对照组增多(P<0.05),止血时间较对照组降低(P<0.01);两组患者气虚血瘀证单项症状评分均降低(P<0.01),治疗组低于对照组(P<0.01);两组患者子宫三径和减少(P<0.01),子宫下降幅度增加(P<0.01),治疗组子宫复旧情况优于对照组(P<0.01);治疗组总有效率为98.08%(51/52),高于对照组的84.62%(44/52)(P<0.05)。结论:常规治疗基础上予黄芪山药粥联合中药穴位贴敷可促进剖宫产后恶露不绝气虚证患者止血及子宫复旧,改善中医证候,效果优于常规治疗方案。Objective:To observe curative effects of Huangqi(Astragali radix)Shanyao(yam)porridge and herbal acupoint application in the treatment of lochiorrhea in caesarean section patients of Qi-deficiency pattern.Methods:All 104 patients were allocated to the control group and the treatment group according to random number table method with 52 cases in each group.The control group adopted conventional therapeutic regimen,and the treatment group took the herbal porridge and accepted herbal acupoint application based on the therapy the control group received,to compare the conditions of lochiorrhea,single index scores of Qi-deficiency pattern,the indexes related to the involution of the uterus and clinical effects between both groups after two weeks of the treatment consecutively.Results:After the treatment,the number of blood-stopping cases in the treatment group was more than that of the control group(P<0.05),hemostatic time was shorter than that of the control group(P<0.01);the scores of single symptom of Qi-deficiency blood-stasis were reduced in the two groups(P<0.01),the treatment group was shorter than the control group(P<0.01);the sum of three-dimensional diameters of the uterus reduced in the two groups(P<0.01),the decrease of the uterus increased(P<0.01),the involution of the uterus in the treatment group was better than that of the control group(P<0.01);total effective rate of the treatment group was 98.08%(51/52),higher than 84.62%(44/52)of the control group(P<0.05).Conclusion:On the foundation of conventional therapy,Huangqi Shanyao porridge and herbal acupoint application could promote the hemostasis and the involution of the uterus,improve TCM syndrome,and its effects superior to these of conventional therapeutic regimen.

关 键 词：恶露不绝 气虚证 穴位贴敷 黄芪山药粥 

分 类 号：R271.43[医药卫生—中医妇科学]