摘要
目的分析气虚证顺产产妇采用独参汤治疗的临床价值。方法选取2021年1月—2022年7月在甘肃省张掖市山丹县妇幼保健院生产的92例气虚证顺产产妇为研究对象,按照治疗方案的不同分为对照组(n=46,西医治疗)、观察组(n=46,西医+独参汤治疗)。比较两组产后出血量、产程时间、凝血指标、血红蛋白水平、血红细胞计数、中医证候积分、产后并发症发生率及不良反应发生情况。结果与对照组相比,观察组第一、二、第三产程时间均更短,产后2 h、12 h、24 h出血量均更低,差异有统计学意义(P均<0.05)。分娩后,两组凝血指标(活化部分凝血活酶时间、纤维蛋白原、凝血酶原时间、凝血酶时间)比较,差异无统计学意义(P均>0.05)。分娩后,与对照组血红蛋白水平、血红细胞计数相比,观察组均更高,差异有统计学意义(P均<0.05)。观察组子宫压痛、阴道流血、腰腹重坠积分及总积分均低于对照组,差异有统计学意义(P均<0.05)。两组不良反应(恶心呕吐、腹泻、血压升高、寒战、面部潮红)发生率比较,差异无统计学意义(P>0.05)。观察组产后并发症发生率为4.35%(2/46),低于对照组的17.39%(8/46),差异有统计学意义(χ^(2)=4.039,P<0.05)。结论气虚证顺产产妇采用独参汤治疗,可有效防范产后出血的发生,减少产后出血量,缩短产程时间,降低中医证候积分,且并发症少。
Objective To analyze the clinical value of Dushen Decoction in treating parturients with Qi deficiency syndrome.Methods Ninety-two parturients with Qi deficiency syndrome who gave birth in Shandan County Maternal and Child Health Hospital from January 2021 to July 2022 were selected as the study subjects,and were divided into control group(n=46,Western medicine treatment)and observation group(n=46,Western medicine+Dushen Decoction treatment)according to different treatment plans.Postpartum blood loss,labor time,blood coagulation index,hemoglobin level,red blood count,traditional Chinese medicine syndrome score,postpartum complications and adverse reactions were compared between the two groups.Results Compared with the control group,the time of the first,second and third stages of labor in the observation group were shorter,and the amount of bleeding at 2 h,12 h and 24 h after delivery were lower,the differences were statistically significant(all P<0.05).There were no significant differences in coagulation indexes(activated partial thromboplastin time,fibrinogen,prothrombin time and thrombin time)between the two groups after delivery(all P>0.05).After delivery,compared with the control group,the hemoglobin level and hemoglobin count in the observation group were higher,and the differences were statistically significant(both P<0.05).The scores of uterine tenderness,vaginal bleeding,lumbar and abdominal weight and total scores in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reactions(nausea and vomiting,diarrhea,elevated blood pressure,chills,facial flushing)between the two groups(P>0.05).The incidence of postpartum complications in the observation group was 4.35%(2/46),which was lower than 17.39%(8/46)in the control group,and the difference was statistically significant(χ^(2)=4.039,P<0.05).Conclusion The application of Dushen Decoction in parturients with Qi deficiency syndrome can effectively prevent the occurrence of postpartum hemorrhage,reduce the amount of postpartum hemorrhage,shorten the time of labor,reduce the score of traditional Chinese medicine symptoms,and have less complications.
作者
梁瑾
刘丽
LIANG Jin;LIU Li(Department of Obstetrics,Shandan County Maternal and Child Health Hospital,Zhangye 734100,Gansu,China)
出处
《世界复合医学(中英文)》
2024年第11期6-10,共5页
World Journal of Complex Medicine
关键词
独参汤
气虚证
产后出血
中医证候
Dushen Decoction
Qi deficiency syndrome
Postpartum hemorrhage
Traditional Chinese medicine syndrome
