补血生乳颗粒联合低频脉冲电刺激对产后缺乳患者疗效的临床研究

目的探究补血生乳颗粒联合低频脉冲电刺激对产后缺乳患者的临床效果。方法选取2022年1月至2023年9月赣州市妇幼保健院收治的120例产后缺乳患者作为研究对象,根据随机数字表法分为试验组1、试验组2、试验组3,每组各40例。所有患者均接受常规治疗,在此基础上,试验组1患者行低频脉冲电刺激治疗,试验组2患者行补血生乳颗粒治疗,试验组3患者行补血生乳颗粒联合低频脉冲电刺激治疗。比较三组患者的乳房充盈程度、泌乳量、红细胞计数与血红蛋白水平以及治疗效果。结果治疗后2、4周,试验组3的乳房充盈程度评分低于试验组1与试验组2,泌乳量高于试验组1与试验组2,差异有统计学意义(P<0.05)。治疗后2、4周,试验组3的红细胞计数与血红蛋白水平均高于试验组1与试验组2,差异有统计学意义(P<0.05)。三组患者的总有效率比较,差异有统计学意义(P<0.05);试验组3的治疗总有效率高于试验组1,差异有统计学意义(P<0.017)。结论将补血生乳颗粒与低频脉冲电刺激联合应用于产后缺乳患者的治疗中,可有效改善乳汁分泌情况,并能够对患者起到补血益气的作用,有利于促进患者生化指标改善,值得临床推广。

Non-Invasive Treatment to Grade 1 Essential Hypertension by Percutaneous Laser and Electric Pulse to Acupoint with Music:A Randomized Controlled Trial

Objective： To study a non-drug therapy for hypertension disease by combining percutaneous laser and electric pulse stimulation to acupoint with music, and to test the efficiency of the combining treatment to grade 1 essential hypertension. Methods： A total of 174 patients with grade 1 essential hypertension were randomly assigned to 3 groups with a random number table after Chinese medicine（CM） syndrome differentiation： the photoelectric and musical treatment group（Group 1, with a self-developed multi-mode audio frequency pulse photoelectric therapeutic apparatus）, acupuncture group（Group 2）, and oral placebo group（Group 3）, 58 cases per group. The curative effect of each group was evaluated by the changes of blood pressure and CM syndrome integral before and after treatment. Results： Compared with Group 3, there were significant decrease of blood pressure and CM syndrome integral in Group 1 and Group 2（P〈0.01）. Compared with Group 2, Group 1 showed the highest decrease in systolic pressure（P〈0.017）. The total effective rate of anti-hypertension in Group 1（91.38%, 53/58） was significantly higher than that in Group 2（74.13%, 43/58） and Group 3（18.97%, 11/58, P〈0.05 or P〈0.01）; and that in Group 2 was also significantly higher than that in Group 3（P〈0.01）. There were significant difference in the total effective rate of CM syndrome integral in both Group 1（93.10%, 54/58） and Group 2（84.48%, 49/58） as compared with Group 3（17.24%, 10/58, P〈0.01）, while there was no significant difference between Group 1 and Group 2（P〉0.05）. Conclusions： The multi-mode audio frequency pulse photoelectric therapeutic apparatus, combining music, laser and electric pulse stimulation, is clinically useful for grade 1 essential hypertension. This ＂three in one＂ therapy method is non-invasive, easy and simple to handle. It is expected to be popularized as a new alternative treatment.

卡前列素氨丁三醇联合脉冲电刺激预防高危因素所致产后出血的疗效研究

目的探讨卡前列素氨丁三醇联合脉冲电刺激产后出血的影响。方法宫缩乏力性产后出血的600例,随机分为两组,各300例,两组产妇产后即给予卡前列素氨丁三醇0.25 mg肌肉注射,送回产科病房后,对照组采用常规人工按摩宫底的方法进行产后出血预防,观察组给予脉冲电刺激进行产后出血的预防。观察产前产后收缩压、舒张压、心率情况,记录产后出血的例数,出血量、止血时间、产后血红蛋白及红细胞容量下降情况,产后输血例数、子宫切除例数及产后贫血、低血容量休克、输血反应、产褥感染等。所获数据采用方差分析,t检验和2检验。结果产时出血量、产后24 h出血量、止血时间、24 h红细胞下降和血红蛋白下降两组比较,t=9.5392~22.299,P均<0.0005。卡前列素氨丁三醇联合脉冲电刺激组并发症发生11例,占3.67%。对照组并发症发生49例,占16.33%。两组比较,X^2=26.740,P<<0.005,有非常显著性差异。对照组产前与产后2 h血压与心率比较,P>0.05,无显著性差异;产后24h与产前、产后2h血压与心率比较,t=16.171~32.349,P均<0.001,有非常显著性差异。卡前列素氨丁三醇联合脉冲电刺激组产前与产后2h血压与心率比较,P>0.05,无显著性差异;产后24h与产前、产后2h血压与心率比较,t=25.358~50.978,P均<0.001,有非常显著性差异。两组产后24 h心率比较。t=3.7947,P<0.001,均恢复正常。结论卡前列素氨丁三醇联合脉冲电刺激能有效减少高危因素产妇产后出血的发生,并能减少出血量,同时节省了人力资源,减轻产妇痛苦,可以推广应用。

低频脉冲电刺激治疗产褥期乳腺炎的临床疗效观察

目的分析低频脉冲电刺激治疗产褥期乳腺炎的效果。方法选取本院收治的60例产褥期乳腺炎患者作为研究对象,随机分为观察组和对照组,各30例。观察组患者行低频脉冲电刺激疗法,对照组患者行基础疗法,比较两组患者治疗后的临床治疗总有效率以及治愈时间。结果观察组有效25例、好转3例,总有效率93.3%,对照组有效20例,好转1例,总有效率70%,组间比较差异有统计学意义(P <0.05)。观察组治疗用时(3.42±0.71)d,对照组(6.33±0.61)d,组间比较差异有统计学意义(P <0.05)。结论将低频脉冲电刺激疗法应用于产褥期乳腺癌病症中,能够有效提升临床总有效率,缩短治疗用时。