益气凉血安宫方剂对促进产后子宫恢复、改善子宫动脉血流方面的价值

Clinical Value of Yiqi Liangxue Angong Recipe for Promoting Postpartum Uterine Recovery and Improving Uterine Artery Blood Flow

目的:探讨益气凉血安宫方剂对促进产后子宫恢复、改善子宫动脉血流方面的价值。方法:将87例产后子宫复旧不全患者采用简单随机法分为两组,对照组43例给予缩宫素+抗生素治疗,观察组44例在对照组用药基础上给予益气凉血安宫方剂治疗。比较两组恶露情况、腰腹疼痛消失时间、中医证候积分和疗效,检测两组治疗前后B超下子宫三径和子宫动脉血流差异。结果:观察组恶露持续时间、腰腹疼痛消失时间短于对照组,平均恶露量少于对照组(P<0.05)。治疗前组间比较,两组中医证候积分,无统计学意义(P>0.05)。治疗后与本组治疗前比较,两组恶露不绝、血色紫黯、血质黏稠、小腹疼痛、面色潮红、心胸烦躁、口燥咽干积分及总积分均下降。治疗后与对照组比较,观察组中医证候积分明显更低(P<0.05)。治疗前组间比较,两组B超下子宫三径和子宫动脉血流,无统计学意义(P>0.05)。治疗后与本组治疗前比较,两组子宫动脉收缩期峰值流速(PSV)升高,B超下子宫三径及子宫动脉阻力指数(RI)、搏动指数(PI)均下降。治疗后与对照组比较,观察组子宫动脉PSV明显更高,子宫三径及子宫动脉RI、PI明显更低(P<0.05)。观察组总有效41例,总有效率为93.18%,高于对照组的33例和76.74%,有统计学意义(P<0.05)。结论:益气凉血安宫方剂可缩短产后子宫复旧不全患者恶露持续时间,促进子宫恢复、改善子宫动脉血流,提高疗效。

Objective:To explore the value of Yiqi Liangxue Angong Recipe for promoting postpartum uterine recovery and improving uterine artery blood flow.Methods:A total of 87 patients with postpartum uterine involution were divided into two groups by the simple random method,43 cases in the controlled group were treated with Oxytocin and Antibiotics,and 44 cases in the observation group were treated with Yiqi Liangxue Angong Recipe on the basis of the controlled group.The lochia,waist and abdominal pain disappearance time,TCM syndrome score and curative effect were compared between the two groups,and the differences in the three uterine diameters and uterine artery blood flow under B-ultrasound before and after treatment between the two groups were detected.Results:The duration of lochia and the disappearance of waist and abdominal pain in the observation group were shorter than those in the controlled group,and the average amount of lochia was less than that in the controlled group(P<0.05).Before treatment,there was no statistical significance in TCM syndrome scores between the two groups(P>0.05).After treatment,compared with before treatment in this group,the scores of persistent lochia,dark purple blood,thick blood,abdominal pain,flushing,irritability,dry mouth and throat,and total scores in the two groups decreased.After treatment,compared with the controlled group,the TCM syndrome scores of the observation group were significantly lower(P<0.05).Before treatment,there was no statistical significance in the three uterine diameters and uterine artery blood flow under B-ultrasound between the two groups(P>0.05).After treatment,compared with before treatment in this group,the peak systolic velocity(PSV)of uterine arteries in the two groups increased,and the three uterine diameters,uterine arterial resistance index(RI)and pulsatility index(PI)under B-ultrasound all decreased.After treatment,compared with the controlled group,the PSV of the uterine artery in the observation group was significantly higher,and the three diameters of the uterus and the RI and PI of the uterine artery were significantly lower(P<0.05).The total effective rate was 93.18%in the observation group of 41 cases,which was higher than that in the controlled group of 33 cases and 76.74%,with statistical significance(P<0.05).Conclusion:Yiqi Liangxue Angong Recipe can shorten the duration of lochia in patients with postpartum uterine involution,promote uterine recovery,improve uterine artery blood flow,and improve curative effect.