鲜益母草胶囊联合缩宫素促进血瘀型剖宫产产妇康复效果研究
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Study on the Effect of Xian Yimucao Capsules Combined with Oxytocin on the Rehabilitation of Women of Blood Stasis Type After Caesarean Section
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    摘要:

    目的:观察鲜益母草胶囊联合缩宫素促进血瘀型剖宫产产妇康复的效果。方法:筛选104例血瘀型剖宫产术后产妇,按随机数字表法分为对照组和观察组各52例。对照组于剖宫产术后第1天起予缩宫素注射液,连用2天,观察组在对照组用药基础上加服鲜益母草胶囊,连续7天。观察2组产妇用药前后血瘀证症状评分、恶露量、子宫三径之和的变化及临床疗效,检测血浆纤维蛋白原(FIB)和D-二聚体(D-dimer)水平。结果:治疗后,总有效率观察组94.23%,对照组78.85%,2组比较,差异有统计学意义(P<0.05)。2组血瘀证症状(小腹疼痛拒按、舌紫暗、脉弦涩)评分、恶露量、子宫三径之和、血浆FIB和D-dimer水平与治疗前比较均减少(P<0.01);观察组3项症状评分、恶露量、子宫三径之和、血浆FIB和D-dimer水平均低于对照组(P<0.01)。结论:在常规使用缩宫素的基础上加用鲜益母草胶囊,可有效改善血瘀型剖宫产产妇的不适,促进产妇的康复,调节血浆FIB和D-dimer水平可能与其疗效有关,值得进一步研究。

    Abstract:

    Objective:To observe the effect of Xian Yimucao capsules combined with oxytocin on the rehabilitation of women of blood stasis type who had undergone caesarean section.Methods:Selected 104 cases of women of blood stasis type who had undergone caesarean section,and divided them into the control group and the observation group according to the random number table method,52 cases in each group.The control group received oxytocin injection on the first day after cesarean section and its treatment lasted for two days.The observation group was additionally treated with Xian Yimucao capsules for seven days based on the treatment of the control group.Before and after treatment,observed the changes in the symptom scores of blood stasis syndromes,the amount of lochia and the sum of three diameters of uterus, and observed the clinical effect in the two groups.Measured levels of plasma fibrinogen(FIB)and D-dimer.Results:After treatment,the total effective was 94.23%in the observation group,and 78.85%in the control group,the difference being significant(P<0.05).In the two groups,the symptom scores of blood stasis syndromes(abdominal pain which cannot be relieved by pressing, dark and purple tongue, and tough string-like pulse), the amount of lochia, the sum of three diameters of uterus,levels of plasma FIB and D-dimer were all reduced when compared with those before treatment(P<0.01).The three symptom scores,the amount of lochia,the sum of three diameters of uterus,and levels of plasma FIB and D-dimer in the observation group were lower than those in the control group(P<0.01).Conclusion:Based on the routine treatment of the oxytocin,the additional use of Xian Yimucao capsules can effectively improve the discomfort of women awaiting delivery,and promote the recovery of women of blood stasis type who had undergone caesarean section.The regulation of levels of plasma FIB and D-dimer may be related to the curative effect,which is worthy of further study.

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刘云.鲜益母草胶囊联合缩宫素促进血瘀型剖宫产产妇康复效果研究[J].新中医,2018,50(12):140-142

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  • 在线发布日期: 2018-12-09
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