中医药联合辨证护理对促进气血虚弱型孕妇宫颈成熟的临床研究

Clinical research on the effects of Chinese medicine dialectical care on promoting cervical ripening of pregnant women with qi-blood deficiency

目的探讨在待产孕妇中应用中医药辨证护理对促进气血虚弱型足月妊娠孕妇宫颈成熟的临产前护理策略及临床效果。方法选取中医辨证为气血虚弱型的足月妊娠单胎头位初产妇180例,随机分为对照组即催产素组及常规护理组60例,中医药辨证护理组即在对照组的基础上入院后即给予中药口服加辨证护理60例,空白组即期待观察组及常规护理组60例。观察三组治疗前后宫颈Bishop评分,阴道及宫颈分泌物FFN(胎儿纤连蛋白)定性测定,分娩结局及对母胎的影响。结果中医药辨证护理组在临产率、阴道分娩率及宫颈评分、FFN测定等方面较对照组及空白组均有差异,P<0.05。结论对于气血虚弱型足月妊娠在入院后开展中医药辨证护理对临产前宫颈成熟有辅助作用,对于提高顺产率,降低高危分娩促进母儿健康有积极作用,值得推广。

Objective To explore the prenatal care strategy of applying Chinese medicine dialectical care to promoting cervical ripening of full-term pregnant women with qi-blood deficiency and its clinical effect. Methods We chose 180 first-time,full-term pregnant women with single fetus cephalic presentation who were diagnosed as with qi-blood deficiency and then randomly divided them into three groups,60 in control group with oxytocin and usual care;60 in group of Chinese medicine dialectical care,which provided oral use of Chinese medicine and dialectical care after those women being admitted to hospital;60 in blank group with usual observation and care. We did Bishop assessment of neck of uterus before and after treatment in these three groups,conducted qualitative test in FFN （Fetal Fibronectin）,the secreta from vagina and neck of uterus,and observed delivery outcome as well as the influence to mother and child. Results Compared with control group and blank group,the group of Chinese medicine dialectical care was outstanding in terms of labor rate,vaginal delivery rate,and FFN test（P〈0.05）.Conclusion Chinese medicine dialectical care boosts cervical ripening of full-term pregnant women with qi-blood deficiency. It is helpful to increase natural labor rate,reduce high-risk delivery,and promote health of mother and child. Therefore it is worth to be popularized.