生化汤加减联合盐巴热敷治疗产后胎盘残留的临床效果分析

Clinical Effect Analysis of Shenghua Decoction Plus Reduction Combined with Hot Compression of Salt in the Treatment of Retained Placenta after Delivery

目的探讨胎盘残留患者采用生化汤加减联合盐巴热敷治疗的临床效果。方法随机选取2021年5月—2023年5月福建省泉州市惠安县妇幼保健院收治的120例胎盘残留患者,以随机数表法分为研究组(n=60)和对照组(n=60),对照组给予常规缩宫素治疗,研究组给予生化汤加减联合盐巴热敷治疗。比较两组临床疗效、中医证候积分、胎盘残留面积、子宫内膜厚度、不良反应。结果研究组治疗总有效率为96.67%(58/60),较对照组的85.00%(51/60)更高,差异有统计学意义(χ^(2)=4.904,P<0.05)。治疗后,两组中医证候(舌象、脉象、情绪、症状)积分低于治疗前,且研究组积分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组胎盘残留面积缩小,子宫内膜厚度降低,且研究组面积和厚度小于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率为5.00%(3/60),低于对照组的6.67%(4/60),但差异无统计学意义(χ^(2)=0.152,P>0.05)。结论胎盘残留患者采用生化汤加减联合盐巴热敷治疗,能够提高临床疗效,在降低中医证候积分方面效果显著,有利于促进胎盘残留面积缩小,加快子宫内膜厚度恢复,且不会导致不良反应增加,适用经阴道分娩的胎盘残留。

Objective To explore the clinical effect of the treatment of patients with retained placenta with the combination of Shenghua decoction plus reduction and hot compresses of salt.Methods A total of 120 cases of patients with retained placenta admitted to Huian County Maternal and Child Health Hospital from May 2021 to May 2023 were randomly selected as the research object and divided into the study group(n=60)and the control group(n=60)by randomized numerical table method.The control group was given conventional oxytocin treatment,and the study group was given Shenghua decoction plus reduction combined with hot compresses of salt.Compared the clinical efficacy,Chinese medicine evidence points,area of retained placenta,endometrial thickness,and adverse reactions of the two groups.Results The total effective rate of treatment in the study group was 96.67%(58/60),which was higher than that of 85.00%(51/60)in the control group,and the difference was statistically significant(χ^(2)=4.904,P<0.05).After treatment,the points of Chinese medicine signs(tongue,pulse,mood and symptoms)in both groups were lower than before treatment,and the points in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the area of retained placenta was reduced and the thickness of endo metrium was decreased in both groups,and the area in the study group was smaller than that in the control group,and the thickness was thinner than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 5.00%(3/60),which was lower than 6.67%(4/60)in the control group,but the difference was not statistically significant(χ^(2)=0.152,P>0.05).Conclusion The treatment of patients with retained placenta with Shenghua decoction plus reduction combined with hot compresses of salt can improve the clinical efficacy,which is effective in reducing the Chinese medicine evidence points,and is helpful in promoting the reduction of the area of retained placenta and accelerating the recovery of the thickness of the uterine lining,and does not lead to an increase in adverse reactions,which is applicable to retained placenta in transvaginal delivery.