中药热敷联合生化汤加减治疗剖宫产产后患者子宫复旧不良的效果

The Effect of Traditional Chinese Medicine Hot Compress Combined with Modified Shenghua Decoction in the Treatment of Uterine Involution Insufficiency after Cesarean Section

目的:探究中药热敷联合生化汤加减治疗剖宫产产后患者子宫复旧不良的效果。方法:选取2020年3月—2023年3月于贵溪市中医院剖宫产且产后子宫复旧不良的患者80例,随机将其分为常规组和研究组,各40例。常规组采用服用新生化片,研究组在常规组基础上加用中药热敷联合生化汤加减。观察两组产后子宫大小与子宫底高度、产后恶露情况、血清血管内皮生长因子(VEGF)、血清前列腺素E_(2)(PGE_(2))、血流变指标(血浆黏度、红细胞聚集指数)。结果:治疗7 d后,研究组的子宫三径之和与子宫底高度均低于常规组,每日恶露量少于对照组,恶露结束时间、月经复潮时间均早于常规组,PGE_(2)、血浆黏度、红细胞聚集指数均低于常规组,VEGF高于常规组,差异均有统计学意义(P<0.05)。结论:中药热敷联合生化汤加减能促进产后患者子宫恢复,减少恶露量,缩短恶露结束时间及月经复潮时间,改善血清相关指标和血流变指标。

Objective:To explore the effect of traditional Chinese medicine hot compress combined with Modified Shenghua Decoction on uterine involution insufficiency in patients after cesarean section.Method:A total of 80 patients with postpartum uterine involution insufficiency who were delivered by cesarean section in Guixi Hospital of Traditional Chinese Medicine from March 2020 to March 2023 were randomly divided into conventional group and study group,with 40 cases in each group.The conventional group was treated with Xin Shenghua Tablets,and the study group was supplemented with traditional Chinese medicine hot compress combined with Modified Shenghua Decoction.The postpartum uterine size,uterine floor height,lochia,serum vascular endothelial growth factor(VEGF),serum prostaglandin E_(2)(PGE_(2)),and hemorheological indexes(plasma viscosity,red blood cell aggregation index)were observed in the two groups.Result:After 7 days of treatment,the sum of anterior and posterior diameter,long diameter and transverse diameter of uterus and height of uterine floor in the study group were lower than those in the conventional group,the daily lochia volume was lower than that in the control group,the end time of lochia and menstrual rehydration time were earlier than those in the conventional group,PGE_(2),plasma viscosity and red blood cell aggregation index were lower than those in the conventional group,and VEGF was higher than that in the conventional group,the differences were statistically significant(P<0.05).Conclusion:Hot compresses of traditional Chinese medicine combined with Modified Shenghua Decoction can promote the uterine recovery of postpartum patients,reduce the amount and time of the end of evil discharge as well as the time of menstruation,and improve the serum indexes and hemorheological indexes.