中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
11期
23-25
,共3页
艾灸%气海%关元%产后%胎盘胎膜残留%恶露不绝
艾灸%氣海%關元%產後%胎盤胎膜殘留%噁露不絕
애구%기해%관원%산후%태반태막잔류%악로불절
Moxibustion%Qihai%Guanyuan%Postpartum%Placental membranes residual%Lochiorrhea
目的：分析艾灸气海、关元穴治疗产后胎盘胎膜残留的效果。方法：90例产后胎盘胎膜残留的患者，按随机对照原则分成三组，①A组30例，每天艾灸气海、关元穴两次及口服中药生化汤一剂；②B组30例，每天口服中药生化汤一剂；③C组：每天肌注缩宫素针10U。三组均治疗7d。比较三组在用药7d后的子宫体积、宫腔残留物的面积、用药期间疼痛的VAS评分、血性恶露持续的时间、清宫的情况。结果：在用药7d后子宫体积、宫腔残留物的面积、血性恶露持续的时间、清宫率比较， A组均显著小于另外两组（P<0.05）。用药期间疼痛的VAS评分，A组与B组比较无显著性差异（P>0.05），A组评分显著小于C组（P<0.05）。结论：艾灸气海、关元穴治疗产后胎盘胎膜残留，具有加强子宫收缩、促进残留物的排出、减轻疼痛、减少出血时间、降低清宫率的作用，临床推广价值。
目的：分析艾灸氣海、關元穴治療產後胎盤胎膜殘留的效果。方法：90例產後胎盤胎膜殘留的患者，按隨機對照原則分成三組，①A組30例，每天艾灸氣海、關元穴兩次及口服中藥生化湯一劑；②B組30例，每天口服中藥生化湯一劑；③C組：每天肌註縮宮素針10U。三組均治療7d。比較三組在用藥7d後的子宮體積、宮腔殘留物的麵積、用藥期間疼痛的VAS評分、血性噁露持續的時間、清宮的情況。結果：在用藥7d後子宮體積、宮腔殘留物的麵積、血性噁露持續的時間、清宮率比較， A組均顯著小于另外兩組（P<0.05）。用藥期間疼痛的VAS評分，A組與B組比較無顯著性差異（P>0.05），A組評分顯著小于C組（P<0.05）。結論：艾灸氣海、關元穴治療產後胎盤胎膜殘留，具有加彊子宮收縮、促進殘留物的排齣、減輕疼痛、減少齣血時間、降低清宮率的作用，臨床推廣價值。
목적：분석애구기해、관원혈치료산후태반태막잔류적효과。방법：90례산후태반태막잔류적환자，안수궤대조원칙분성삼조，①A조30례，매천애구기해、관원혈량차급구복중약생화탕일제；②B조30례，매천구복중약생화탕일제；③C조：매천기주축궁소침10U。삼조균치료7d。비교삼조재용약7d후적자궁체적、궁강잔류물적면적、용약기간동통적VAS평분、혈성악로지속적시간、청궁적정황。결과：재용약7d후자궁체적、궁강잔류물적면적、혈성악로지속적시간、청궁솔비교， A조균현저소우령외량조（P<0.05）。용약기간동통적VAS평분，A조여B조비교무현저성차이（P>0.05），A조평분현저소우C조（P<0.05）。결론：애구기해、관원혈치료산후태반태막잔류，구유가강자궁수축、촉진잔류물적배출、감경동통、감소출혈시간、강저청궁솔적작용，림상추엄개치。
Objective: To analyze clinical effects of moxibustion at Qihai and Guanyuan on treatingt postpartum placental membranes residues. Methods:90 patients were randomly divided into three groups,①there were 30 cases in group A, who were given moxibustion on Qihai and Guanyuan twice every day and one dose of oral TCM Shenghua decoction every day;②there were 30 cases in group B, who were given TCM Shenghua decoction every day;③in group C, the patients were given 10U of oxytocin intramuscularly. In7 days, three groups were compared in term of the volume of uterus, the surface of uterine residue, VAS scores during the medication, duration of hemorrhagic lochia and curettage rate. Results:Through comparisons of the volume of uterus, the surface of uterine residue, duration of hemorrhagic lochia and curettage rate treatment, all of the indicators were significantly less in group A than the other two groups (P<0.05). For VAS scores during the medication, no significant difference was seen between group A and group B (P>0.05), and scores of group A was significantly less than that of group C (P<0.05). Conclusion: Moxibustion at Qihai and Guanyuan for treating postpartum placental membranes residues has played a role in strengthening uterine contractions, promoting residue discharge, relieving pain, reducing the bleeding time and reducing the curettage rate. The therapy has clinical promotion value.
