中医体质辨识对不同分娩方式产后恢复情况的评估

The Evaluation of TCM Constitution Identification on Postpartum Recovery of Different Delivery Modes

目的:对产前相同体质状态、不同分娩方式的产妇进行产后体质辨识,评估不同分娩方式对产妇体质恢复的影响,为孕妇合理选择分娩方式提供依据。方法:将平和质孕妇按照分娩方式分为剖宫产组和顺产组各500例,在产后3 d及产后42 d,分别运用道生中医四诊仪对其进行中医体质辨识。结果:(1)产后3 d,顺产组仍能保持平和质的产妇比例为54.4%,剖宫产组为45.6%,差异有统计学意义(P<0.01);(2)产后3 d,产生偏颇体质的产妇中,剖宫产组气虚质的比例为15.8%,高于顺产组的4.8%,差异有统计学意义(P<0.05);(3)产后42 d,偏颇体质恢复平和质的产妇比例,顺产组为43.8%,剖宫产组为18.2%,差异有统计学意义(P<0.01)。结论:剖宫产较顺产更容易导致产妇气虚,剖宫产对产妇体质影响较大,剖宫产产后体质恢复比顺产慢。

Objective：This research will use TCM consitution of normative evaluation tools to investigate the influence of different modes of delivery on puerpera,in order to provide a theoretical basis for choosing proper delivery way. Methods：The research has500 cases of cesarean section puerperas and 500 cases of vaginal delivery puerperas. All of them were investigated to be moderate constitution when they were 36 weeks pregnancy. Another two investigations will be taken on the 3rd day and 42 th day after birth.Results：（1）On the 3rd day after birth,the proportion of moderate constitution was 54. 4% in vaginal delivery group and 45. 6% in cesarean section group. There was a significant difference（ P〈0. 01）.（2）On the 3rd day after birth,the proportion of Qi deficiency constitution was 15. 8% in cesarean section group and 4. 8% in vaginal delivery group. The difference between two groups was significant（ P〈0. 05）.（3）On the 42 th day after postpartum,the proportion of puerpera who recover to moderate physique was 43. 9%in vaginal group and 56. 1% in cesarean group. The difference was significant（ P〈0. 01）. Conclusion：Cesarean section which has bad influence on maternal health is more likely to lead to Qi deficiency physique,and the constitution recovery of cesarean section puerpera is slower than natural delivery puerperal.