助气敛血汤加味联合常规治疗剖宫产后恶露不绝临床研究
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R719.8;R714.65

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Clinical Study on Modified Zhuqi Lianxue Tang Combined with Routine Treatment for Lochiorrhea After Cesarean Section
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    摘要:

    目的:观察助气敛血汤加味联合常规治疗剖宫产后气虚证恶露不绝患者的效果。方法:选择行剖宫产分娩的产妇200 例,按随机数字表法分为治疗组和对照组各100 例。对照组给予常规治疗措施;治疗组在对照组的基础上给予助气敛血汤加味治疗。2 组疗程均为2 周。比较2 组恶露改善情况、气虚证证候评分及临床疗效。结果:治疗组总有效率为100%,对照组为94.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,治疗组平均止血时间短于对照组,差异有统计学意义(P<0.05)。治疗组止血率为98.00%,对照组为90.00%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组小腹空坠、精神疲乏、气短懒言、面色㿠白等中医证候评分比较,差异无统计学意义(P>0.05);治疗后,2 组上述各项证候评分均较治疗前降低(P<0.05),且治疗组各项证候评分均低于对照组(P<0.05)。结论:在西医常规干预措施的基础上联合助气敛血汤加味治疗剖宫产后气虚证恶露不绝,可缩短出血时间,改善临床症状,提高疗效。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Zhuqi Lianxue tang combined with routine treatment for patients with qi deficiency syndrome and lochiorrhea after cesarean section. Methods: A total of 200 cases of parturients with qi deficiency syndrome undergoing cesarean section were selected and divided into the treatment group and the control group according to the random number table method, with 100 cases in each group. The control group was given routine treatment,and the treatment group was additionally treated with modified Zhuqi Lianxue tang based on the treatment of the control group. Both groups were treated for two weeks. The improvement of lochiorrhea,scores of qi deficiency syndrome and clinical effects were compared between the two groups. Results:The total effective rate was 100% in the treatment group and 94.00% in the control group, the difference being significant(P<0.05). After treatment,the mean hemostatic time in the treatment group was shorter than that in the control group, the difference being significant(P<0.05); the hemostasis rate was 98.00% in the treatment group and 90.00% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of scores of bearing- down sensation of lower abdomen,lassitude of spirit,shortness of breath and no strength to speak,bright pale complexion and other qi deficiency syndromes between the two groups(P>0.05);the above syndrome scores in the two groups after treatment were decreased when compared with those before treatment(P<0.05),and each score in the treatment group was lower than that in the control group(P<0.05). Conclusion: Based on routine western medicine intervention, modified Zhuqi Lianxue tang for patients with qi deficiency syndrome and lochiorrhea after cesarean section can shorten bleeding time,improve clinical symptoms and enhance clinical effect.

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舒莉,郑元锋,姚慧珍,吴凌燕.助气敛血汤加味联合常规治疗剖宫产后恶露不绝临床研究[J].新中医,2022,54(20):15-17

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  • 在线发布日期: 2022-10-28
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