摘要
目的探讨灼灸联合加味生化汤治疗自然分娩后宫腔妊娠组织残留的效果。方法选取210例足月自然分娩后诊断为宫腔妊娠组织残留的患者,随机分为对照组、生化汤组和联合治疗组,各70例。对照组进行产褥期健康宣教;生化汤组进行产褥期健康宣教,并给予生化汤治疗;联合治疗组在生化汤组的基础上给予灼灸治疗。疗程7 d。比较3组治疗后14 d的临床疗效和清宫率;比较治疗后14 d宫腔残留物的最大直径和产后42 d子宫三径之和;比较3组阴道出血时间。结果总有效率联合治疗组(88.6%)高于生化汤组(78.6%)和对照组(61.4%)(P<0.05),生化汤组与对照组比较差异无统计学意义(P>0.05)。清宫率联合治疗组(2.9%)低于生化汤组(15.7%)和对照组(25.7%),生化汤组低于对照组(P<0.05)。3组治疗后14 d宫腔残留物最大直径比较差异无统计学意义(P>0.05)。产后42 d子宫三径之和,联合治疗组小于生化汤组和对照组、生化汤组小于对照组(P<0.05)。阴道出血时间联合治疗组短于生化汤组和对照组、生化汤组短于对照组(P<0.05)。结论灼灸联合加味生化汤有助于促进自然分娩后宫腔妊娠组织的排出。
Objective To investigate the effectiveness of burning moxibustion combined with Jiawei Shenghua decoction in the management of residual intrauterine pregnancy tissue after spontaneous delivery.Methods A total of 210 patients with residual intrauterine pregnancy tissue after full-term spontaneous delivery were randomly divided into the control group,the Jiawei Shenghua decoction group and the combined treatment group,each with 70 cases.In the control group,puerperal health education was conducted;in the decoction group,Jiawei Shenghua decoction was further given;in the combined treatment group,burning moxibustion therapy was administered alongside puerperal health education and Jiawei Shenghua decoction.The course of treatment was 7 d for all groups.Clinical efficacy and clearance rate at 14 d after treatment were compared between the 3 groups;the maximum diameter of uterine residues at 14 d after treatment and the sum of the 3 diameters of the uterus at 42 d after delivery were compared;vaginal bleeding time were compared.Results The total effective rate was significantly higher in the combined treatment group(88.6%)than in the decoction group(78.6%)and the control group(61.4%)(P<0.05);the difference in the total effective rate was not statistically significant between the decoction group and the control group(P>0.05).The clearance rate was significantly lower in the combined treatment group(2.9%)than in the decoction group(15.7%)and the control group(25.7%)(P<0.05),and was significantly lower in the decoction group than in the control group(P<0.05).There was no statistically significant difference in the maximal diameter of intrauterine pregnancy residue in the 3 groups at 14 d after treatment(P>0.05).At 42 d postpartum,the sum of the 3 diameters of the uterus was significantly smaller in the combined treatment group than in the decoction group and the control group(P<0.05),and significantly smaller in the decoction group than in the control group(P<0.05).Vaginal bleeding time was significantly shorter in the co
作者
胡孟洁
朱轮华
艾露
HU Meng-jie;ZHU Lun-hua;AI Lu(Department of Obstetrics and Gynecolog,Wuning County Maternal and Child Health Hospital,Wuning 332300,Chinay;Department of Traditional Chinese Medicine,Wuning County Maternal and Child Health Hospital,Wuning 332300,China)
出处
《实用临床医学（江西）》
CAS
2024年第5期58-61,共4页
Practical Clinical Medicine
基金
江西省卫健委科技计划项目(202410709)。
关键词
宫腔妊娠组织残留
自然分娩
灼灸
加味生化汤
阴道出血
residual intrauterine pregnancy tissue
spontaneous delivery
burning moxibustion
Jiawei Shenghua decoction
vaginal bleeding
