少腹逐瘀颗粒用于产妇产后恢复的价值分析

Value analysis of Shaofu Zhuyu Granule for postpartum recovery of parturients

目的探究产妇产后恢复中应用少腹逐瘀颗粒的价值。方法100例正常顺产产妇,经随机数字表法分为对照组和观察组,每组50例。两组产妇均给予阴道康复期锻炼,在此基础上,对照组产妇产后肌内注射缩宫素,观察组产妇在对照组基础上口服少腹逐瘀颗粒。比较两组产妇产后阴道出血时间,产后出血量,产妇转经情况、产后宫缩乏力、胎膜残留、产褥期感染发生率,盆底功能障碍性疾病发生情况、满意度及治疗前后盆底肌力改善情况。结果观察组产妇产后阴道出血时间(9.11±2.52)d短于对照组的(12.32±3.21)d,产后出血量(82.46±11.69)ml少于对照组的(108.51±15.45)ml,差异有统计学意义(P<0.05)。观察组产妇转经时间(32.19±2.52)d短于对照组的(35.91±3.14)d,差异有统计学意义(P<0.05)。两组产妇经期时间比较差异无统计学意义(P>0.05)。观察组产妇产后宫缩乏力、胎膜残留、产褥期感染发生率分别为6.00%、4.00%、2.00%,低于对照组的34.00%、22.00%、20.00%,差异有统计学意义(P<0.05)。观察组产妇盆底功能障碍性疾病发生率4.00%低于对照组的16.00%,差异有统计学意义(P<0.05)。观察组产妇满意度96.00%高于对照组的84.00%,差异有统计学意义(P<0.05)。治疗后,两组产妇改良牛津肌力分级(MOS)评分均明显高于本组治疗前,且观察组产妇MOS评分(4.07±0.45)分高于对照组的(3.33±0.46)分,差异有统计学意义(P<0.05)。结论产妇产后恢复期间应用少腹逐瘀颗粒疗效显著,有利于减少产后阴道出血时间和产后出血量,促进产妇转经情况改善,降低产后宫缩乏力、胎膜残留、产褥期感染发生率,建议临床推广应用。

Objective To investigate the value of Shaofu Zhuyu Granule for postpartum recovery of parturients.Methods A total of 100 women after vaginal delivery were divided into control group and observation group according to the random numerical table,with 50 cases in each group.Both groups were given vaginal rehabilitation exercise,on the basis of which the control group was given intra-muscular injection of contraction after delivery,and the observation group was given oral Shaofu Zhuyu Granules on the basis of the control group.Both groups were compared in terms of time of postpartum vaginal bleeding,amount of postpartum bleeding,condition of menstruation,incidence of postpartum uterine atony,residual membranes,puerperal infection and pelvic floor dysfunction diseases,satisfaction,and improvement of pelvic floor muscle strength before and after treatment.Results The time of postpartum vaginal bleeding of(9.11±2.52)d in the observation group was shorter than that of(12.32±3.21)d in the control group,and the amount of postpartum bleeding of(82.46±11.69)ml was less than that of(108.51±15.45)ml in the control group.The differences were statistically significant(P<0.05).The time of menstruation of(32.19±2.52)d in the observation group was shorter than that of(35.91±3.14)d in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in menstrual duration between the two groups(P>0.05).The incidences of postpartum uterine atony,residual membranes,and puerperal infection were 6.00%,4.00%,and 2.00%in the observation group,which were lower than those of 34.00%,22.00%,and 20.00%in the control group,and the differences were statistically significant(P<0.05).The incidence of maternal pelvic floor dysfunctional disease was 4.00%in the observation group,which was lower than that of 16.00%in the control group,and the difference was statistically significant(P<0.05).The maternal satisfaction rate of 96.00%in the observation group was higher than that of 84.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the maternal modified Oxford scale(MOS)score in both groups was significantly higher than that before treatment in this group,and the maternal MOS score of(4.07±0.45)points in the observation group was higher than that of(3.33±0.46)points in the control group.The differences were statistically significant(P<0.05).Conclusion The application of Shaofu Zhuyu Granule during postpartum recovery can achieve prominent effect,which is beneficial to reduce the time of postpartum vaginal bleeding and amount of postpartum bleeding,promote the improvement of condition of menstruation,reduce the incidence of postpartum uterine atony,residual membranes,and puerperal infection.It is recommended to popularize the application in clinical practice.