摘要
目的:探讨清宫汤治疗产后子宫复旧不良的效果和作用机理。方法:治疗组160例产后应用清宫汤,对照组115例产后服用益母草膏进行临床观察。结果:清宫汤有较强的促进宫缩作用,优于对照组。两组5d宫体高宽乘积差有非常显著差异(P<0.01);产后阴道出血量,24h～48h、48h～72h差异有显著意义(P<0.05及P<0.01);恶露干净时间差异显著(P<0.01);产后子宫复旧痊愈率与有效率均优于对照组(P均<0.05);减少产褥感染,促进乳汁分泌均有统计学意义(P<0.05)。结论:清宫汤有促进子宫复旧、控制产褥感染、促进恶露干净、减少产后出血量、促进乳汁分泌的作用。
Objective:To expore the therapeutical effects and its mechanisms of Qinggong decoction on the subinvolution of uterus after delivery.Methods:In the treatment group 160 puerperants were administered with Qinggong decoction,while in the control group 115 puerperants were given with motherwort syrup.Results:It was demonstrated that the effects of Qinggong decoction on promoting the construction of uterus was stronger than that of motherwort syrup. The mean product of height multiplying width of uterus in the treatment group was significantly smaller than that in the control group(P<0.05)on the fifth postpartum day. There were also significant decreases of postpartum bleeding amount both at 24～48 h(P<0.05) and 48～72 h(P<0.01) after delivery in the treatment group. The mean lochia-stopping time was obviously shortened(P<0.01). The total recovery rate of postpartum uterine involution was superior to the control group. It was also shown that Qinggong decoction could reduce the events of postpartum infection and promote the secretion of milk. The animal experiments showed that Qinggong decoction could enhance the constructing frequency and activity of uterus smooth muscle of estrogenic mouse in vitro.Furthermore it could reduce the ear swelling degree and capillary permeability of abdominal cavity in experimental mice(P<0.05 or P<0.01).Conclusion:Qinggong decoction could promote the involution of uterus, reduce the events of postpartum infection, accelerate the lochia-stopping, decrease the postpartum bleeding amounts and facilitate the secretion of milk. Therefore Qinggong decoction might be the useful prescription for postpartum health care in the clinical application.
出处
《河南中医学院学报》
2005年第4期29-30,33,共3页
Journal of Henan University of Chinese Medicine
