加味生化汤联合益母草颗粒治疗产后胎盘残留临床研究

Clinical Study on Modified Shenghua Tang Combined with Yimucao Granules for Postpartum Placental Remnants

目的:观察加味生化汤联合益母草颗粒治疗产后胎盘残留的效果。方法:选择产后胎盘残留患者122例,按照随机数字法分为对照组和观察组各61例,对照组给予益母草颗粒,观察组在对照组基础上给予加味生化汤,对比治疗效果。结果:治疗后,2组子宫内膜厚度、胎盘残留面积、人绒毛膜促性腺激素(β-HCG)均降低,观察组降低幅度大于对照组(P<0.05)。对照组阴道流血时间、治愈时间均长于观察组(P<0.05)。2组不良反应发生率比较,差异均无统计学意义(P>0.05)。结论:使用加味生化汤联合益母草颗粒治疗产后胎盘残留,可以缩短阴道出血时间,加速患者康复,安全性良好。

Objective:To observe the effect of modified Shenghua tang combined with Yimucao granules for postpartum placental remnants. Methods:Selected 122 cases of patients with postpartum placental remnants and divided them into the control group and the observation group according to the random number table,with 61 cases in each group. Both groups were given Yimucao granules and the observation group was additionally given modified Shenghua tang. Compared the curative effect in the two groups. Results:After treatment,the endometrial thickness,placental remnant area and human chorionic gonadotropin(β-HCG) in the two groups were all decreased and the decreased range in the observation group was larger than that in the control group(P<0.05). The vaginal bleeding time and the healing time in the control group were longer than those in the observation group(P<0.05). There were no significant differences being found in the comparison of the incidence of adverse reactions in the two groups(P>0.05). Conclusion:The application of modified Shenghua tang combined with motherwort granules for postpartum placental remnants can reduce vaginal bleeding time and accelerate the recovery of patients with good safety.