口服中药结合低频脉冲电刺激治疗产后缺乳30例临床观察

Oral Chinese Medicine and Low Frequency Pulse Electric Stimulation in Treating 30 Cases of Postpartum Hypogalactia

目的观察口服中药通乳丹结合低频脉冲电刺激治疗气血虚弱型产后缺乳的临床疗效。方法将90例气血虚弱型缺乳患者随机分为治疗组、中药组和理疗组各30例,治疗组给予口服中药结合低频脉冲电刺激治疗;中药组单纯口服中药治疗;理疗组给予低频脉冲电刺激治疗。均3天为1个疗程,治疗1个疗程后观察临床综合疗效、泌乳量、中医症状改善情况。结果①综合疗效比较:治疗组总有效率93.3%,中药组总有效率83.3%,理疗组总有效率76.7%,组间比较差异有统计学意义(P<0.05)。②乳量疗效比较:治疗组总有效率93.3%,中药组总有效率83.3%,理疗组总有效率73.3%,各组间比较差异有统计学意义(P<0.05)。③治疗组、中药组治疗后中医症状改善情况明显优于理疗组。结论口服中药结合低频脉冲电刺激治疗气血虚弱型缺乳,能有效增加乳汁分泌,且能明显改善中医症状,临床应用安全有效,无毒副作用。

Objective To observe the curative effect of Tongru dan and low frequency pulse electric stimulation(LFPES) in treating postpartum hypogalactia(PH) with deficiency of Qi and blood syndrome. Methods 90 PH patients with deficiency of Qi and blood syndrome were randomly assigned to treatment group(n=30), Chinese medicine group(n=30) and physical therapy group(n=30). The treatment group received Tongru dan and LFPES, Chinese medicine group received Tongru dan, and physical therapy group received LFPES for three days. The changes of curative effect, milk yield, TCM symptoms improvement were observed. Results Comparison of comprehensive effect: the total effective rate of treatment group was 93.3%, Chinese medicine group was 83.3%, physical therapy group was 76.7%, and there were significant differences among three groups(P<0.05). Comparison of milk yield effect: the total effective rate of treatment group was 93.3%, Chinese medicine group was 83.3%, physical therapy group was 73.3%(P<0.05). The TCM symptoms improvement in treatment group, Chinese medicine group was respectively better than that of physical therapy group after the treatment. Conclusion Oral Chinese medicine combined with LFPES which was used to treat PH with deficiency of Qi and blood syndrome could increase the secretion of milk effectively, and improve TCM symptoms significantly. The clinical application of this method is safe and effective, non-toxic and side effect.