生化汤合失笑散治疗产后胎盘胎膜残留的效果

发布时间：2018-09-01 14:18

【摘要】：目的观察生化汤合失笑散治疗产后胎盘胎膜的临床疗效。方法选取分娩后胎盘胎膜残留的患者204例,随机分为观察组104例,对照组100例,其中观察组给予生化汤合失笑散口服治疗,疗程7~14 d,对照组采用期待疗法,两组随访2个月,观察并统计两组患者血性恶露持续时间、治疗前后B超检查宫腔组织情况、清宫率、盆腔感染发生率。结果观察组患者血性恶露停止时间(15.68±3.81)d,明显少于对照组(21.37±5.15)d,差异有统计学意义(P0.05);观察组有1例行清宫术,清宫率为0.99%,对照组有55例行清宫术,清宫率为55.00%,前者明显低于后者,两组差异有统计学意义(P0.05)。两组盆腔感染发生率分别为2.88%和5.00%,两组差异无统计学意义(P0.05)。比较两组治愈、无效的例数,差异有统计学意义(P0.05)。结论生化汤合失笑散可显著提高产后胎盘胎膜残留的临床疗效,缩短产后血性恶露的持续时间,促进残留组织排出,降低清宫率,减少对产妇心理和生理的创伤。
[Abstract]:Objective to observe the clinical effect of Shenghua decoction combined with Mixiao Powder in the treatment of postpartum placental membranes. Methods 204 patients with placental and fetal membrane residues after delivery were randomly divided into observation group (n = 104) and control group (n = 100). The observation group was treated with Shenghua decoction and Mianxiao Powder orally for 7 days, and the control group was treated with expectant therapy. The two groups were followed up for 2 months. The duration of bleeding lochia, the ultrasonic examination of uterine tissue, the rate of uterine clearance and the incidence of pelvic infection before and after treatment were observed and counted. Results the time of stopping bleeding lochia in the observation group was (15.68 卤3.81) days, which was significantly lower than that in the control group (21.37 卤5.15) days, the difference was statistically significant (P0.05), in the observation group, there was 1 case of uterine clearing, the clearance rate was 0.99 and 55 cases in the control group were significantly lower than that in the control group, and the former was significantly lower than the latter. The difference between the two groups was statistically significant (P0.05). The incidence of pelvic infection in the two groups was 2.88% and 5.00, respectively. There was no significant difference between the two groups (P0.05). The difference between the two groups was statistically significant (P0.05). Conclusion biochemical decoction combined with Mixiao Powder can significantly improve the clinical efficacy of postpartum placental membrane residue, shorten the duration of postpartum hemorrhagic lochia, promote the excretion of residual tissue, reduce the rate of clearing the uterus, and reduce the psychological and physiological trauma of puerpera.
【作者单位】：广州市花都区妇幼保健院(胡忠医院)产科;
【分类号】：R271.43

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