Burning Moxibustion Combined with Jiawei Shenghua Decoction in the Management of Residual Intrauterine Pregnancy Tissue after Spontaneous Delivery
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 combined treatment group than in the decoction group and the control group(P＜0.05),and significantly shorter in the decoction group than in the control group(P＜0.05).Conclusion Burning moxibustion combined with Jiawei Shenghua decoction can produce promising results in promoting the removal of residual intrauterine pregnancy tissue after spontaneous delivery.
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