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新生化颗粒联合加减生化汤对剖宫产术后子宫复旧的影响

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目的:探索新生化颗粒联合加减生化汤对剖宫产术后子宫复旧的影响。方法:选择 2022 年 4 月—2023 年 5 月英山县人民医院收治的 88 例剖宫产孕妇作为研究对象,以双色球的方法均分为普通组与研究组,各 44 例。术后子宫复旧期间,普通组给予新生化颗粒干预,研究组给予新生化颗粒联合加减生化汤干预,观察并比较两组术后不同时间段的子宫底下降幅度、术后恶露情况、血液流变学指标、血常规指标[白细胞(WBC)、红细胞(RBC)、血小板(PLT)及血红蛋白(HGB)]及乳汁分泌功能效果。结果:术后1 d,两组子宫底下降幅度比较,差异无统计学意义(P>0。05);术后3 d、7 d,研究组子宫底下降幅度高于普通组,差异有统计学意义(P<0。05)。研究组血性恶露量少于普通组,恶露持续时间及血性恶露持续时间均短于普通组,差异有统计学意义(P<0。05)。术前,两组血液流变学指标、血常规指标比较,差异无统计学意义(P>0。05);术后 7 d,两组全血高切黏度、全血低切黏度、血浆黏度及红细胞聚集指数均低于术前,HGB低于术前,且研究组全血高切黏度、全血低切黏度、血浆黏度及红细胞聚集指数低于普通组,HGB高于普通组,差异有统计学意义(P<0。05)。术后 7 d,两组WBC、RBC及PLT指标比较,差异无统计学意义(P>0。05)。研究组乳汁分泌功能总优良率高于普通组,差异有统计学意义(P<0。05)。结论:新生化颗粒联合加减生化汤在剖宫产术后子宫复旧方面具有潜在的临床应用前景,可以提高治疗效果,减轻产妇的疼痛程度,促进子宫复旧。
Effect of Xinshenghua Granules Combined with Modified Shenghua Decoction on Uterine Involution after Cesarean Section
Objective:To explore the effect of Xinshenghua Granules combined with Modified Shenghua Decoction on uterine involution after cesarean section.Method:A total of 88 pregnant women with cesarean section treated in Yingshan County People's Hospital from April 2022 to May 2023 were selected as the research objects,and were equally divided into the normal group and the research group by the method of bicolor ball,with 44 cases in each group.During postoperative uterine involution,the normal group was treated with Xinshenghua Granules,and the research group was treated with Xinshenghua Granules combined with Modified Shenghua Decoction.The descending amplitude of uterine floor at different time periods,postoperative lochia,hemorheology indexes,blood routine indexes[white blood cells(WBC),red blood cells(RBC),platelets(PLT)and hemoglobin(HGB)]and the effect of milk secretion function between the two groups were observed and compared.Result:At 1 d after surgery,there was no significant difference in the descending amplitude of uterine floor between the two groups(P>0.05).At 3 d and 7 d after surgery,the descending amplitude of uterine floorin the research group were higher than that in the normal group,and the differences were statistically significant(P<0.05).The amount of lochia in the research group was less than that in the normal group,and the duration of lochia and lochia blood in the research group were shorter than those in the normal group,the differences were statistically significant(P<0.05).Before surgery,there were no significant differences in hemorheology indexes and routine blood indexes between the two groups(P>0.05).At 7 d after surgery,whole blood high tangential viscosity,whole blood low tangential viscosity,plasma viscosity and red blood cell aggregation index in two groups were lower than those before surgery,and HGB was lower than that before surgery;in addition,whole blood high tangential viscosity,whole blood low tangential viscosity,plasma viscosity and red blood cell aggregation index in research group were lower than those in normal group,and HGB was higher than that in normal group,the differences were statistically significant(P<0.05).At 7 d after surgery,there were no significant differences in WBC,RBC and PLT indexes between the two groups(P>0.05).The total excellent and good rate of milk secretion function in the research group was higher than that in the normal group,and the difference was statistically significant(P<0.05).Conclusion:Xinshenghua Granules combined with Modified Shenghua Decoction has a potential clinical application prospect in uterine involution after cesarean section,which can improve the therapeutic effect,reduce the degree of pain and promote uterine involution.

Xinshenghua GranulesModified Shenghua DecoctionCaesarean sectionUterine involution

汤刚义、闻艳华

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英山县人民医院 湖北 英山 438700

新生化颗粒 加减生化汤 剖宫产 子宫复旧

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)