摘要
目的:观察雷火灸联合新生化颗粒治疗产后恶露不绝血瘀证产妇的临床效果。方法:选取2019年4月至2021年8月该院收治的90例产后恶露不绝血瘀证产妇进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各45例。对照组采用新生化颗粒治疗,研究组在对照组基础上联合雷火灸治疗,比较两组临床疗效、治疗前后中医证候积分、血液流变学指标水平、子宫复旧指标水平和治疗期间不良反应发生率。结果:研究组治疗总有效率为95.56%(43/45),高于对照组的73.33%(33/45),差异有统计学意义(P<0.05);治疗后,两组主证、次证等中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组全血高切黏度、全血低切黏度、血浆黏度、红细胞沉降率等血液流变学指标水平均低于治疗前,且研究组低于对照组,两组子宫体积均小于治疗前,且研究组小于对照组,差异有统计学意义(P<0.05);研究组宫底平均下降速度大于对照组,差异有统计学意义(P<0.05);两组治疗期间肝、肾功能均正常,无明显不良反应。结论:雷火灸联合新生化颗粒治疗产后恶露不绝血瘀证产妇可提高治疗总有效率,改善子宫复旧指标水平,降低中医证候积分和血液流变学指标水平,效果优于单纯新生化颗粒治疗。
Objective:To observe clinical effects of thunder-fire moxibustion combined with Xinshenghua granules in treatment of postpartum lochia and blood stasis syndrome.Methods:A prospective study was conducted on 90 patients with postpartum lochia and blood stasis syndrome admitted to the hospital from April 2019 to August 2021.They were divided into study group and control group according to the random number table method,45 cases in each.The control group was treated with Xinshenghua granules,while the study group was treated with thunder-fire moxibustion on the basis of that of the control group.The clinical efficacy,the TCM syndrome score,the hemorheology index levels,the uterine involution index levels,and the incidence of adverse reactions during the treatment were compared between the two groups.Results:The total effective rate of treatment in the study group was 95.56%(43/45),which was higher than 73.33%(33/45)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as main syndromes and secondary syndromes in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of hemorheology indexes such as whole blood high shear viscosity,whole blood low shear viscosity,plasma viscosity and erythrocyte sedimentation rate in the two groups were lower than those before the treatment,and those in the study group were lower than those in the control group;the uterine volume levels of the two groups were smaller than those before the treatment,and that of the study group was smaller than that of the control group;and the differences were statistically significant(P<0.05).The average decline rate of uterine fundus in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The liver and kidney functions of the two groups were normal during t
作者
李亚琴
宋亚丽
LI Yaqin;SONG Yali(Department of Obstetrics of Zhengzhou Maternal and Child Health Hospital,Zhengzhou 450012 Henan,China)
出处
《中国民康医学》
2023年第3期125-128,共4页
Medical Journal of Chinese People’s Health
关键词
产后恶露不绝
血瘀证
雷火灸
新生化颗粒
中医证候积分
血液流变学
子宫
Postpartum lochia endless
Blood stasis syndrome
Thunder-fire moxibustion
Xinshenghua granules
TCM syndrome score
Hemorheology
Uterus
