产后子宫复旧不良的临床治疗概况

Clinical treatment effect of postpartum subinvolution of uterus

子宫是产褥期变化最大的器官,妊娠子宫从胎盘娩出后逐渐恢复到非孕状态的过程称为子宫复旧。子宫复旧是产褥期恢复关键之一,子宫复旧不良是妇产科常见病,也可诱发各种产后疾病。子宫复旧不良主要临床表现为血性恶露持续时间延长,伴腰痛及下腹部坠胀感。针对子宫复旧不良的治疗,西医临床以抗炎和促进子宫收缩为主,中医药以化瘀止血、益气养血为主,辨证施治,以及近来针对子宫复旧不良的治疗新兴的中西医结合治疗和特色治疗,都获得了显著的临床疗效。现对产后子宫复旧不良临床研究概况予以综述。

Uterus is the largest change in the puerperium organ,subinvolution of uterus was the process from delivery of placenta to the gradually restored to the non-pregnant state.Subinvolution of uteru is one of the key puerperal recovery,which is the common disease of obstetrics and gynecology,and can induce a variety of postpartum diseases.The main clinical manifestations of subinvolution of uterus are prolonged time of bloody lochia,with back pain and abdominal bulge.For the treatment of poor uterine involution,western medicine mainly focuse on anti-inflammation and promoting uterine contractions,traditional Chinese medicine mainly focuse on removing blood stasis and hemostasis,and recently integrative Chinese and western medicine and characteristic theray aiming at subinvolution of uterus have significant clinical effects.Now the research review of subinvolution of uterus are summarized.