生乳方对产后缺乳患者泌乳质量及血清催乳素、雌二醇水平的影响
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R174+.4

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河南省医学科技攻关计划项目(LHCJ20210947)


Effects of Shengru Prescription on Lactation Quality and Levels of Serum Prolactin and Estradiol in Postpartum Patients with Lactation Deficiency
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    摘要:

    目的:观察生乳方对产后缺乳患者泌乳质量及血清催乳素(PRL)、雌二醇(E2) 水平的影响。方 法:选取102 例产后缺乳患者作为研究对象,采用随机数字表法分为康复组和中药组各51 例。康复组给予乳 房按摩及低频脉冲电刺激治疗,中药组在康复组基础上联合生乳方口服治疗。比较2 组临床疗效及治疗前后中 医证候积分、泌乳质量、激素水平。结果:中药组临床总有效率96.08%,高于康复组84.31%(P<0.05)。治 疗后,2 组产后乳少、乳房柔软、面色无华、神倦食少等中医证候积分均降低(P<0.05),且中药组低于康复 组(P<0.05)。治疗后,2 组泌乳量、乳房充盈度、乳汁淤积评分均降低(P<0.05),且中药组低于康复 组(P<0.05)。治疗后,2 组血清PRL 水平均升高(P<0.05),且中药组高于康复组(P<0.05),2 组血清E2 水平均降低(P<0.05),且中药组低于康复组(P<0.05)。结论:基于气血同治理论应用生乳方治疗产后缺 乳,可改善患者泌乳质量,改善临床症状,调控激素水平,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the effects of Shengru Prescription on lactation quality and levels of serum prolactin (PRL) and estradiol (E2) in postpartum patients with lactation deficiency. Methods:A total of 102 postpartum patients with lactation deficiency were selected as the research objects and divided into the rehabilitation group and the Chinese medicine group by random number table method, with 51 cases in each group. The rehabilitation group was given breast massage and low- frequency pulse electrical stimulation for treatment, and the Chinese medicine group was additionally combined with oral administration of Shengru Prescription based on the treatment of the rehabilitation group. The clinical effects, and traditional Chinese medicine (TCM) syndrome scores, lactation quality and hormone levels before and after treatment were compared between the two groups. Results:The total effective rate was 96.08% in the Chinese medicine group, higher than that of 84.31% in the rehabilitation group (P<0.05). After treatment,the TCM syndrome scores,such as few lactation,soft breast,pale facial complexion, mind fatigue and poor appetite were all decreased in the two groups (P<0.05),and the above scores in the Chinese medicine group were lower than those in the rehabilitation group (P<0.05). After treatment, lactation volume, breast fullness and galactostasis scores in the two groups were decreased (P<0.05), and the above indexes in the Chinese medicine group were lower than those in the rehabilitation group (P< 0.05). After treatment,the serum PRL levels in the two groups were increased (P<0.05),and the serum PRL level in the Chinese medicine group was higher than that in the rehabilitation group (P<0.05); the serum E2 levels in the two groups were decreased (P<0.05), and the serum E2 level in the Chinese medicine group was lower than that in the rehabilitation group (P<0.05). Conclusion:Based on the theory of simultaneous treatment of qi and blood, the application of Shengru Prescription for postpartum hypogalactia can improve the quality of lactation and clinical symptoms in patients, regulate hormone levels,and enhance clinical effects.

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周辉,郝玉娟,邢秋丽.生乳方对产后缺乳患者泌乳质量及血清催乳素、雌二醇水平的影响[J].新中医,2024,56(3):83-87

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  • 在线发布日期: 2024-02-23
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