中药汤剂联合西药治疗气虚血瘀型产后恶露不绝临床研究
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R271.43


Clinical Study on Chinese Medicine Decoction Combined with Western Medicine for Postpartum Persistent Flow of Lochia of Qi Deficiency and Blood Stasis Type
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    摘要:

    目的:观察中药汤剂结合西药治疗气虚血瘀型产后恶露不绝患者的治疗效果。方法:将120 例气虚血瘀型产后恶露不绝患者分为A 组和B 组各60 例。2 组均予缩宫素、抗感染等西医治疗,B 组加用中药汤剂治疗。比较2 组治疗总有效率、止血时间、不良反应发生情况,并比较2 组治疗前后中医证候积分、子宫三径之和、白细胞计数(WBC)、血红蛋白(Hb)、凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、纤维蛋白原(FIB)、凝血酶时间(TT)。结果:B 组治疗总有效率88.33%,高于A 组71.67%(P<0.05)。与同组治疗前比较,治疗后2 组中医证候积分与子宫三径之和均降低(P<0.05);与A 组治疗后比较,B 组治疗后中医证候积分与子宫三径之和均较低(P<0.05)。与同组治疗前比较,治疗后2 组WBC 水平均降低(P<0.05),Hb 水平均升高(P<0.05);与A 组治疗后比较,B 组治疗后WBC 水平较低(P<0.05),Hb 水平较高(P<0.05)。B 组平均止血时间短于A 组(P<0.05)。2 组不良反应比较,差异无统计学意义(P>0.05)。结论:中药汤剂联合西药治疗气虚血瘀型产后恶露不绝,能有效改善患者临床症状,促进其子宫复旧,降低炎性指标,加快Hb 恢复,且不良反应发生率低。

    Abstract:

    Abstract: Objective: To observe the curative effect of Chinese medicine decoction combined with western medicine for patients with postpartum persistent flow of the lochia of qi deficiency and blood stasis type. Methods: A total of 120 cases of patients with postpartum persistent flow of the lochia of qi deficiency and blood stasis type were divided into Group A and Group B,with 60 cases in each group. Both groups were given oxytocin, anti- infection and other western medicine treatment, and Group B was additionally treated with Chinese medicine decoction. The total effective rate, hemostasis time and the incidence of adverse reactions were compared between the two groups. The Chinese medicine syndrome scores,the sum of three uterine diameters,white blood cell count(WBC),hemoglobin(Hb),prothrombin time(PT), activated partial thromboplastin time(APTT), fibrinogen(FIB) and thrombin time(TT) before and after treatment were compared between the two groups. Results:The total effective rate was 88.33% in Group B, higher than that of 71.67% in Group A(P<0.05). After treatment, the Chinese medicine syndrome scores and the sum of three uterine diameters in the two groups were decreased when compared with those in the same group before treatment(P<0.05);the Chinese medicine syndrome score and the sum of three uterine diameters in Group B were lower than those in Group A(P<0.05). After treatment,WBC levels in the two groups were decreased when compared with those in the same group before treatment(P<0.05),and Hb levels were increased(P<0.05);WBC level in Group B was lower than that in Group A(P<0.05),and Hb level was higher(P<0.05). The average hemostasis time in Group B was shorter than that in Group A(P<0.05). There was no significant difference in the comparison of adverse reactions between the two groups(P>0.05). Conclusion: Chinese medicine decoction combined with western medicine for postpartum persistent flow of the lochia of qi deficiency and blood stasis type can effectively improve clinical symptoms of patients, promote their uterine involution, reduce inflammatory indexes,and accelerate HGB recovery,with low incidence of adverse reactions.

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王春延.中药汤剂联合西药治疗气虚血瘀型产后恶露不绝临床研究[J].新中医,2022,54(19):152-155

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  • 在线发布日期: 2022-10-08
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