补气化瘀方联合西药对气虚血瘀型剖宫产后恶露不绝的疗效分析

Analysis on curative effect of Buqi Huayu Decoction combined with Western medicine in treatment of Qi deficiency and blood stasis type of cesarean section postpartum lochiorrhea

目的探讨补气化瘀方联合西药在气虚血瘀型剖宫产后恶露不绝治疗中的效果。方法将2015年1月至2016年1月该院门诊或住院治疗的气虚血瘀型剖宫产后恶露不绝患者82例,按照随机数字表法,分为西医组和中医组,每组各41例。西医组给予缩宫素联合抗菌药物常规治疗,中医组在西医组治疗基础上加用补气化瘀方治疗,对比两组患者治疗前后的中医证候积分、血常规、子宫三径。结果中医组和西医组治疗后的中医证候各项积分与总积分比较,差异有统计学意义(P<0.05);中医组治疗后患者血红蛋白、红细胞、血小板、子宫三径改善程度显著优于西医组(P<0.05)。两组治疗期间均未见肝肾损伤等严重并发症。结论补气化瘀方联合西药治疗气虚血瘀型剖宫产后恶露不绝能有效提高治疗效果,明显改善患者临床症状,促进子宫复旧,且不增加不良反应,是一种安全、有效的治疗方案。

Objective To discuss the effect of Buqi Huayu Decoction combined with Western medicine in the treatment of Qi deficiency and blood stasis type of cesarean section postpartum lochiorrhea.Methods Eighty-two outpatients or inpatients with Qi deficiency and blood stasis type of cesarean section postpartum lochiorrhea in our hospital from January 2015 to January 2016 were randomly divided into the Western medicine group and Chinese medicine group according to the random number table method,41 cases in each group.The Western medicine group was given the conventional therapy of oxytocin combined with antibacterial drugs,while on this basis the Chinese medicine group was added with Buqi Huayu Decoction.The traditional Chinese medicine（TCM）syndrome scores,blood routine and 3 diameters of uterus before and after treatment were compared between the two groups.Results The each item score and total scores of TCM syndrome had statistical difference between the Chinese medicine group and Western medicine group（P〈0.05）;the improvement of Hb,RBC,PLT and 3diameters of uterus in the Chinese medicine group were superior to those in the Western medicine group（P〈0.05）.No serious complications of hepatorenal damage were found in the two groups.Conclusion Buqi Huayu Decoction combined with Western medicine in treating Qi deficiency and blood stasis type of cesarean section postpartum lochiorrhea can effectively improve the treatment effect,can obviously improve the clinical symptoms of patients,promotes uterine involution without increasing adverse reactions,and is a safe and effective treatment scheme.