摘要
目的观察祛瘀补血中药对产后子宫复旧的影响及安全性。方法选取正常分娩产妇120例,随机分为治疗组与对照组,各60例,治疗组产后给予祛瘀补血中药口服,对照组给予益母草膏口服,2组于分娩后1~4 d清晨以软尺测量宫底下降高度,记录分娩后第1~4天阴道恶露量及恶露持续时间,采用B超测量服药前及服药结束后子宫体积,并检查常规实验室指标以评价药物的安全性。结果 2组分娩后第2~4天治疗组宫底下降高度优于对照组（P〈0.05）;第3~4天治疗组恶露量少于对照组（P〈0.05）;治疗组恶露持续时间及服药7 d后子宫体积及RBC、HGB均优于对照组（P〈0.05）。结论祛瘀补血方可有效促进产妇产后红细胞生成,降低产后恶露量及恶露持续时间,加速子宫复旧,促进产妇产后康复。
Objective To observe the effect of the traditional Chinese medicine that can remove blood stasis and enrich the blood on the involution of postpartum uterine and its safety. Methods A total of 120 puerpera underwent normal delivery were randomized into the treatment group and the control group, each 60 cases,The puerpera in the treatment group were o- rally given the traditional Chinese medicine that can remove blood stasis and enrich the blood;while the puerpera in the con- trol group were orally given semifluid extract of motherwort. The height of fundus declining in the puerpera of the two groups was measured by a tape in the morning of one to four days after delivery. The amount and duration of vaginal lochia one to four days after delivery were recorded. The volume of uterus before and after medication was measured under B ultrasound. The routine laboratory indexes were examined to estimate the safety of the drugs. Results The fundus declining height the second to fourth day after delivery in the treatment group was significantly superior to that in the control group （ P 〈 0.05）. The amount of lochia the third and fourth day after delivery in the treatment group was significantly less than that in the con- trol group （ P 〈 0.05 ）. The duration of lochia and the uterine volume seven days after medication in the treatment group were significantly less than those in the control group, RBC and HGB seven days after medication were significantly higher than those in the control group （ P 〈 0.05）. Conclusion The traditional Chinese medicine that can remove blood stasis and enrich the blood can effectively promote the postpartum erythropoiesis, reduce the amount and duration of lochia, accel- erate the uterine involution, and facilitate the rehabilitation.
出处
《长春中医药大学学报》
2015年第3期587-588,共2页
Journal of Changchun University of Chinese Medicine
基金
河北省科学技术成果项目(20133375)
关键词
祛瘀补血方
益母草膏
产后
子宫复旧
remove blood stasis and enrich blood
semifluid extract of motherwort
postpartum
uterine instauration
