摘要
目的探讨益宫颗粒联合缩宫素在剖宫产术后子宫复旧不全治疗中的应用效果。方法将2016年10月—2018年12月收治的118例剖宫产术后子宫复旧不全患者以随机数字表法分为对照组59例、观察组59例,对照组给予宫缩素治疗,观察组在对照组基础上加用益宫颗粒。观察两组治疗效果、症状改善情况、治疗7 d后泌乳情况及不良反应发生率。结果观察组治疗总有效率为94.92%(56/59),与对照组81.36%(48/59)对比,明显较高(P<0.05);观察组治疗后恶露停止时间、腰腹痛消失时间与对照组对比,明显较短,平均恶露量、子宫三径和与对照组对比,明显较小(P<0.05);治疗7 d后,观察组治疗泌乳充足率为91.53%(54/59),与对照组76.27%(45/59)对比,明显较高(P<0.05);用药后观察组不良反应发生率为11.86%(7/59),与对照组8.47%(5/59)对比,无明显差异(P>0.05)。结论益宫颗粒联合缩宫素治疗剖宫产术后子宫复旧不全,疗效确切,可显著促进患者症状恢复,改善患者泌乳情况,且安全性高,值得推广。
Objective To investigate the effect of Yigong Granule combined with oxytocin in the treatment of subinvolution of uterus after cesarean section.Methods A total of 118 patients with subinvolution of uterus after cesarean section admitted from Oct 2016 to Dec 2018 were randomly divided into the control group(n=59)and the observation group(n=59).The control group was treated with oxytocin,and the observation group was given Yigong Granule on the basis of the control group.We observed the therapeutic effects,symptoms improvement and lactation status after 7 days of treatment and compared the adverse reaction rate of two groups.Results The observation group’s total effective rate was 94.92%(56/59),significantly higher compared with that of the control group(81.36%,48/59)(P<0.05).After treatment,the time of lochia stopping and the time of lumbago and abdominal pain disappearing in the observation group were significantly shorter compared with those of the control group.The average lochia volume and the sum of the three diameters of uterine in the observation group were significantly smaller compared with those of the control group(P<0.05).After 7 days of treatment,the observation group’s lactation adequacy rate was 91.53%(54/59),significantly higher compared with that of the control group(76.27%,45/59)(P<0.05).After treatment,the observation group’s incidence of adverse reactions was 11.86%(7/59)and no significant difference compared with that of the control group(8.47%,5/59)(P>0.05).Conclusion Yigong Granule combined with oxytocin in the treatment of subinvolution of uterus after cesarean section has obvious curative effect and can significantly promote the recovery of patients’symptoms and improve the lactation of patients.It has high safety,worthy of promoting.
作者
刘茂永
黄露
龚乾涛
王丹
简远丽
罗丽娜
LIU Maoyong;HUANG Lu;GONG Qiantao;WANG Dan;JIAN Yuanli;LUO Lina(Department of Obstetrics and Gynecology,Zunyi First People’s Hospital,Zunyi 563000,Guizhou,China)
出处
《中华中医药学刊》
CAS
北大核心
2020年第7期81-83,共3页
Chinese Archives of Traditional Chinese Medicine
基金
中华医学会临床医学科研专项(170207709856)
贵州省科学技术基金(黔科合LH字[2015]7580)。
关键词
剖宫产
子宫复旧不全
缩宫素
益宫颗粒
泌乳
cesarean section
subinvolution of uterus
oxytocin
Yigong Granule
lactation
