妇康滋养方辅助球囊扩张对阴道分娩引产产妇泌乳、子宫复旧及凝血指标的影响
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摘要
目的:探讨妇康滋养方辅助球囊扩张对阴道分娩引产产妇泌乳、子宫复旧及凝血指标的影响。方法:研究对象选取医院2016年8月—2017年8月收治阴道分娩引产产妇共130例,以随机数字表法分为对照组(65例)和观察组(65例),分别给予球囊扩张单用和在此基础上加用妇康滋养方辅助治疗;比较两组产妇产后泌乳量、产后泌乳时间、产后母乳喂养率、产后恶露量,产后恶露停止时间、子宫底高度及分娩前后纤维蛋白原(Fib)和D-二聚体D(D-D)水平。结果:观察组产妇产后泌乳量显著多于对照组(P<0.05);观察组产妇产后泌乳时间和母乳喂养率均显著少于对照组(P<0.05);观察组产妇产后恶露量、产后恶露停止时间及子宫底高度均显著少于对照组(P<0.05);同时观察组产妇分娩后Fib和D-D水平均显著低于对照组、分娩前(P<0.05)。结论:妇康滋养方辅助球囊扩张用于阴道分娩引产产妇可有效增加产后泌乳量,加快产后泌乳进程,提高母乳喂养率,促进子宫复旧,并有助于改善凝血指标水平。
Objective: To investigate the influence of Fukang Ziyang Decoction assisted with dilatation balloon on lactation and involution of uterus and blood clotting index of pregnant women with vaginal delivery by induced labor indications. Methods: A total of 130 pregnant women with vaginal delivery by induced labor indications were chosen August2016 to August 2017 and randomly divided into 2 groups including control group( 65 patients) with dilatation balloon used alone and observation group(65 patients) with Fukang Ziyang Decoction on the basis of control group; and the postpartum lactation amount,lactation time,postpartum breastfeeding rate,postpartum lochia,lochia stopping time,uterine height and the levels of Fib and D-D before and after childbirth of both groups were compared. Results: The lactation time of observation group was significantly less than that of the control group( P < 0. 05). The postpartum lactation amount and postpartum breastfeeding rate of observation group were significantly more than those of the control group( P <0. 05). The postpartum lochia,lochia stopping time and uterine height of observation group were significantly less than those of the control group( P < 0. 05). The levels of Fib and D-D after childbirth of observation group were significantly less than those of the control group and before childbirth( P < 0. 05). Conclusion: Fukang Ziyang Decoction assisted with dilatation balloon in the treatment of pregnant women with vaginal delivery by induced labor indications can efficiently increase the postpartum lactation amount,accelerate the lactation process,increase the breast-feeding rate,promote uterine involution and be contribute to improve the levels of blood coagulation index.
Objective: To investigate the influence of Fukang Ziyang Decoction assisted with dilatation balloon on lactation and involution of uterus and blood clotting index of pregnant women with vaginal delivery by induced labor indications. Methods: A total of 130 pregnant women with vaginal delivery by induced labor indications were chosen August2016 to August 2017 and randomly divided into 2 groups including control group( 65 patients) with dilatation balloon used alone and observation group(65 patients) with Fukang Ziyang Decoction on the basis of control group; and the postpartum lactation amount,lactation time,postpartum breastfeeding rate,postpartum lochia,lochia stopping time,uterine height and the levels of Fib and D-D before and after childbirth of both groups were compared. Results: The lactation time of observation group was significantly less than that of the control group( P < 0. 05). The postpartum lactation amount and postpartum breastfeeding rate of observation group were significantly more than those of the control group( P <0. 05). The postpartum lochia,lochia stopping time and uterine height of observation group were significantly less than those of the control group( P < 0. 05). The levels of Fib and D-D after childbirth of observation group were significantly less than those of the control group and before childbirth( P < 0. 05). Conclusion: Fukang Ziyang Decoction assisted with dilatation balloon in the treatment of pregnant women with vaginal delivery by induced labor indications can efficiently increase the postpartum lactation amount,accelerate the lactation process,increase the breast-feeding rate,promote uterine involution and be contribute to improve the levels of blood coagulation index.
引文
[1]黄慧敏.COOK子宫颈扩张球囊和一次性宫颈扩张球囊与缩宫素促宫颈成熟的效果比较[J].中国妇幼保健,2017,32(15):3667-3669.
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[3]吴晓佳.间苯三酚联合宫颈扩张球囊在足月妊娠引产中的应用效果[J].医药前沿,2017,7(5):31-32.
[4]李贺南,胡海霞.归母祛瘀汤联合西药防治产后出血的效果观察[J].中国中医药科技,2017,24(5):643-644.
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[9]周姣桃,江一样.加味生化汤治疗产后并发症的临床研究[J].中华中医药学刊,2015,33(2):504-506.
[10]丁南萍,康建颖.中药汤剂联合复方益母草胶囊治疗剖宫产后恶露不绝临床疗效观察[J].中华中医药学刊,2017,35(6):11-13.
[11]胡兰英,周南.宫颈扩张球囊联合中医针灸的促宫颈成熟及引产的效果评价[J].环球中医药,2014,7(S1):96.
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[13]李志成,杜延佳,张红印.传统动物药的现代研究进展及应用[J].吉林中医药,2017,37(6):593-595.
[14]王翔宇.黄芪现代药理及临床研究进展[J].科技风,2017,5(3):182.
[15]王利华,王菲菲,刘悦.当归多糖的研究进展[J].天津药学,2017,29(3):67-70.
[16]李娟,吴永胜,邱时秀.川芎的研究进展[J].畜牧与饲料科学,2017,38(4):71-72.
[17]王晶莹,谢风.纤维蛋白原与血栓性疾病[J].中国实验诊断学,2006,10(5):566.
[18]李自军.血浆纤维蛋白原与D-二聚体检测在老年下肢骨折并发深静脉血栓的早期诊断中的价值[J].黑龙江医药,2017,30(2):163-165.
[19]谭小嫣,吐尔逊·沙比尔.颅内静脉窦及脑静脉血栓形成与D二聚体的相关性[J].血栓与止血学,2016,22(1):88-90.
[20]杨汉才,李关华.肝硬化患者凝血四项、D-二聚体水平及AT-Ⅲ的表达及临床意义[J].中国实验诊断学,2015,19(8):1366-1368.
[21]刘小书.妊娠晚期女性凝血四项、纤维蛋白(原)降解产物及D-二聚体水平变化及临床意义[J].中国妇幼保健,2017,32(15):3454-3456.
[2]向楠,陈涛.COOK宫颈球囊扩张器用于高危妊娠促宫颈成熟的效果观察[J].中国医学物理学杂志,2017,34(9):27-81.
[3]吴晓佳.间苯三酚联合宫颈扩张球囊在足月妊娠引产中的应用效果[J].医药前沿,2017,7(5):31-32.
[4]李贺南,胡海霞.归母祛瘀汤联合西药防治产后出血的效果观察[J].中国中医药科技,2017,24(5):643-644.
[5]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:94-95.
[6]刘素香,单宁,江晓秀.参归口服液联合缩宫素对自然分娩产后恢复状况的临床研究[J].河北中医药学报,2017,32(3):16-18.
[7]张晗英,魏卫红,徐晓波.宫颈扩张球囊在晚期妊娠引产术中的应用效果[J].中国临床护理,2017,9(5):102-104.
[8]罗沛芬,曾带娣,李仲均.宫颈扩张球囊配合缩宫素在足月妊娠引产中的效果[J].中国当代医药,2017,14(25):207-210.
[9]周姣桃,江一样.加味生化汤治疗产后并发症的临床研究[J].中华中医药学刊,2015,33(2):504-506.
[10]丁南萍,康建颖.中药汤剂联合复方益母草胶囊治疗剖宫产后恶露不绝临床疗效观察[J].中华中医药学刊,2017,35(6):11-13.
[11]胡兰英,周南.宫颈扩张球囊联合中医针灸的促宫颈成熟及引产的效果评价[J].环球中医药,2014,7(S1):96.
[12]范勤颖,李灿,杜胜巧,等.芎归无忧汤联合缩宫素促宫颈成熟及引产129例[J].陕西中医,2015,36(7):775-776.
[13]李志成,杜延佳,张红印.传统动物药的现代研究进展及应用[J].吉林中医药,2017,37(6):593-595.
[14]王翔宇.黄芪现代药理及临床研究进展[J].科技风,2017,5(3):182.
[15]王利华,王菲菲,刘悦.当归多糖的研究进展[J].天津药学,2017,29(3):67-70.
[16]李娟,吴永胜,邱时秀.川芎的研究进展[J].畜牧与饲料科学,2017,38(4):71-72.
[17]王晶莹,谢风.纤维蛋白原与血栓性疾病[J].中国实验诊断学,2006,10(5):566.
[18]李自军.血浆纤维蛋白原与D-二聚体检测在老年下肢骨折并发深静脉血栓的早期诊断中的价值[J].黑龙江医药,2017,30(2):163-165.
[19]谭小嫣,吐尔逊·沙比尔.颅内静脉窦及脑静脉血栓形成与D二聚体的相关性[J].血栓与止血学,2016,22(1):88-90.
[20]杨汉才,李关华.肝硬化患者凝血四项、D-二聚体水平及AT-Ⅲ的表达及临床意义[J].中国实验诊断学,2015,19(8):1366-1368.
[21]刘小书.妊娠晚期女性凝血四项、纤维蛋白(原)降解产物及D-二聚体水平变化及临床意义[J].中国妇幼保健,2017,32(15):3454-3456.