中药足浴熏蒸联合常规方法促进产后恢复随机平行对照研究

The Conventional Method of Foot Bath of Chinese Medicine Fumigation and Promote the Recovery of Randomized Controlled Trial of Postpartum

[目的]观察中药足浴熏蒸联合常规方法促进产后恢复疗效。[方法]使用随机平行对照方法,将130例住院患者按病志号抽签方法简单随机分为两组。对照组65例产后常规治疗,健康宣教、母乳喂养指导。治疗组65例顺产后6h、术后12h后中药足浴熏蒸:浮小麦、益母草、桑寄生各18g,防风20g,紫苏叶、杜仲、桂枝、鸡血藤、白芍、北芪、麻黄根各18g,浓缩药液,倒入大小适中木桶里,加3500mL热水,双足置于木桶内侧边缘熏蒸,至水温40℃,双足浸入水中互搓,指导家属足底按摩,浸泡30min(水温下降时加入热水),1次/d;常规治疗同对照组。连续治疗3d为1疗程。观测临床症状、乳房膨胀度、乳汁分泌、恢复情况、不良反应。[结果]乳汁分泌治疗组优于对照组(P<0.05)。恶露量、宫底高度治疗组优于对照组(P<0.01)。24h乳房膨胀度治疗组优于对照组(P<0.05)。[结论]中药足浴熏蒸联合常规方法促进产后恢复,疗效满意,无严重不良反应,值得推广。

[Objective] To observe the conventional methods of foot bath of Chinese medicine fumigation and promote postpartum recovery effect. [Method] 130 patients were randomly divided into two groups according to the random number method. In the control group, 65 cases were treated with routine treatment, health education and breasffeeding guidance. The treatment group of 65 cases after the birth of foot bath of Chinese medicine fumigation 6h 12h after operation： floating wheat, motherwort, mistletoe 18g, 20g wind, perilla leaf, cassia twig, eucommia bark, Radix Paeoniae Alba, Radix Astragali, Caulis Spatholobi, ephedra root 18G,concentrated liquid, poured into the barrel of moderate size, add 3500mL of hot water, feet in the wooden bucket inside the edge of fumigation, to a temperature of 40 DEG C, double foot immersed in water to rub, guide the families of foot massage, soak 30min （water temperature decreased when adding hot water, 1 times/ d）; routine treatment with the control group. Continuous treatment of 3D for 1 courses. The clinical symptoms, breast swelling, milk secretion, recovery and adverse reactions were observed. [Result] Tthe treatment group was superior to the control group （P〈0.05）. The amount of lochia, fundal height in the treatment group than the control group （P〈0.01）. 24h breast swelling treatment group was better than the control group （P〈0.05）. [Conclusion] The conventional method of foot bath of Chinese medicine fumigation and promote postpartum recovery, curative effect, no serious adverse reactions, worthy of promotion.