回春复宫汤干预产后康复临床研究

Clinical Study of Huichun Fugong Tang in Intervening Postpartum Rehabilitation

目的:观察回春复宫汤干预产后康复的疗效。方法:将210例产妇随机分为对照组和观察组各105例,2组均予常规产后指导和治疗,观察组在此基础上予回春复宫汤口服。2组总疗程均为7天。治疗前后对产妇进行焦虑自评量表(SAS)评分及视觉模拟评分法(VAS)评分的评定。疗程结束后B超测量产妇子宫大小及宫底下降高度,记录产妇首次排尿排气时间、住院时间及产后并发症发生情况。结果:疗程结束后,观察组子宫体积较对照组缩小,子宫下降高度多于对照组,差异均有统计学意义(P<0.05)。观察组首次排尿时间、首次排气时间及平均住院时间均较对照组提早/缩短,差异均有统计学意义(P<0.01)。2组SAS、VAS评分均较治疗前下降,差异均有统计学意义(P<0.05);与对照组相比,观察组2项分值的下降更加明显,差异均有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.01)。结论:回春复宫汤用于产后能有效促进子宫复旧,缓解产后疼痛及焦虑情绪,减少并发症的发生,有利于产妇机体功能恢复,提高生活质量。

Objective：To observe the curative effect of Huichun Fugong tang in intervening postpartum rehabilitation.Methods：Divided 210 cases of parturients into the control group and the observation group randomly, 105 cases in each group. Both groups received routine postpartum guidance and treatment, and the observation group additionally received Huichun Fugong tang orally. The courses in two groups both lasted for 7 days. Evaluated parturients by using self-rating anxiety scale（SAS） and visual analogue scale（VAS） before and after treatment. Determined uterine size and decrease of uterus height by B-ultrasound after treatment. Recorded the first average urination time,the first air ejection time,hospitalization time and complication after treatment. Results：After treatment,comparing with those in the control group,uterine size in the observation group was smaller, the decrease of uterus height in the observation group was larger, differences being significant（P〈0.05）. The first average urination time, the first air ejection time and average hospitalization time in the observation group were all shortened,comparing with those in the control group,differences also being significant（P〈0.01）.Comparing with those before treatment, SAS scores and VAS scores in both groups were decreased（P〈0.05）, and the decrease of these two scores in the observation group was more obvious than that in the control group（P〈0.05）. The complication rate in the observation group was lower than that in the control group（P〈0.01）. Conclusion：Huichun Fugong tang can effectively facilitate uterine involution,relieve postpartum pain and anxiety,and reduce postpartum complications. It is beneficial to the recovery of body function and the enhancement of their quality of life.