葆宫止血颗粒对剖宫产术后产后康复的影响

Effects of Baogong Zhixue Granule on Postnatal Recovery after Cesarean Section

目的:评价葆宫止血颗粒对剖宫产术后产后康复的影响。方法:2019年2月-2020年2月入住本院行剖宫产分娩的产妇共202例,随机分为观察组和对照组,各101例。对照组在胎儿娩出后,予缩宫素注射液(50 U/d)持续静脉泵入,持续用药2 d;观察组产妇在对照组基础上,给予口服葆宫止血颗粒15 g/次,2 次/d,持续用药7 d。比较两组产后24 h出血量、产后腹痛时间、恶露持续时间和子宫复旧情况。结果:观察组产后24 h出血量明显少于对照组,产后腹痛时间和恶露持续时间也明显短于对照组(P<0.05)。观察组产后2~4 d子宫底下降幅度均明显高于对照组(P<0.05)。两组不良反应发生率比较差异无统计学意义(χ^(2)=0.307,P=0.580)。结论:葆宫止血颗粒能有效减少剖宫产产妇的产后出血量,促进子宫复旧,不良反应极少,值得临床推广应用。

Objective:To explore the influence of Baogong Zhixue Granule on postnatal recovery after cesarean section.Method:From February 2019 to February 2020,a total of 202 puerperae receiving cesarean section in our hospital were included.They were randomly divided into the observation group and the control group,101 cases in each group.The control group was given Oxytocin Injection (50 U/d) intravenously for 2 d after delivery;the observation group was given Baogong Zhixue Granules 15 g/time,twice/d for 7 d on the basis of the control group.The amount of 24 h postpartum bleeding,stomachache duration,lochia duration and uterine involution in both groups were compared.Result:The amount of 24 h postpartum bleeding in the observation group was significantly lower than that of the control group,the postpartum stomachache and lochia duration in the observation group were shorter than those in the control group (P<0.05).The decrease of uterine base in the observation group was significantly higher than that in the control group 2-4 d after delivery (P<0.05).There was no significant difference in the incidence of adverse reaction between the two groups (χ^(2)=0.307,P=0.580).Conclusion:Baogong Zhixue Granule can reduce the amount of postpartum bleeding and promote the uterine involution in women who deliver by cesarean section,with very few adverse reactions,which is worthy of clinical promotion and application.