芎归调血饮治疗剖宫产术后肠道功能紊乱临床观察

Xionggui Tiaoxue Drink in the Treatment of Intestinal Dysfunction after Cesarean Section

目的观察芎归调血饮对剖宫产术后患者腹胀和泌乳的疗效及对患者生存质量(QOL)评分的影响。方法选取佛山市南海区第六人民医院2020年7月—2022年2月收治的行子宫下段剖宫产分娩的产妇共80例,随机等分为2组,对照组40例,观察组40例。对照组采用常规西医药物治疗,观察组予芎归调血饮治疗,比较2组患者临床效果、首次排气时间、首次排便时间、乳汁分泌情况及QOL评分。结果观察组患者临床治疗总有效率为95.0%(38/40),显著高于对照组的72.5%(29/40),差异有统计学意义(P<0.05)。观察组患者首次排气时间及首次排便时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者初乳出现时间短于对照组,且产后3 d泌乳量中等以上比例高于对照组,差异均有统计学意义(P<0.05)。观察组QOL评分各项分数均高于对照组,差异有统计学意义(P<0.05)。结论芎归调血饮具有促进剖宫产术后患者肠道功能恢复及促进乳汁分泌的作用,且能有效提升产妇的QOL评分,值得临床推广。

Objective To analyze the efficacy of Xionggui Tiaoxue drink in the treatment of intestinal dysfunction and lactation after cesarean section and its impact on quality of life(QOL)score.Methods Eighty patients with intestinal dysfunction after cesarean sec-tion in Nanhai District Sixth People’s Hospital from July 2020 to February 2022 were randomly divided into two groups,with 40 cases in control group and 40 cases in observation group.The control group was given conventional Western medicine treatment,and the ob-servation group was given Xionggui Tiaoxue drink.The total efficacy,first exhaust time,first defecation time,milk secretion and the ef-fect on QOL score were compared between the two groups.Results The total effective rate of observation group was 95.0%(38/40),which was significantly higher than that of control group(72.5%,29/40),and the difference was statistically significant(P<0.05).The first exhaust time and first defecation time in observation group were shorter than those in control group,and the difference was statisti-cally significant(P<0.05).The occurrence time of colostrum in observation group was shorter than that in control group,and the pro-portion of medium or above lactation volume at 3 days postpartum in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The QOL scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Xionggui Tiaoxue drink is effective in the treatment of intestinal dysfunction and lactation after cesarean section and effectively improve the QOL score of puerpera,and is worthy of clinical promotion.