自拟催生汤在产程中的应用
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林娜,女,主治医师,主要从事妇产科临床治疗工作。

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R 714.45

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湖南中医药大学校级重点科研基金项目(2019XJJJ117)


The Application of Self-designed Cuisheng Decoction in Labor
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    摘要:

    摘 要目的:研究自拟催生汤在产程中的应用,主要观察产妇第二产程时间及产后出血量。 方法:选取 2020 年 7 月 至 2021 年 7 月就诊于常德市第一中医医院的 100 例阴道分娩产妇,随机分为观察组与对照组,每组 50 例。观察组产妇在产 程开始后,在西医常规治疗的基础上服用自拟催生汤,对照组产妇常规使用缩宫素治疗,运用循证医学技术和方法对两组产 妇的临床疗效进行评价并分析。 结果:观察组产妇第二产程时间(28.66 ± 12.18)min,短于对照组的(63.30 ± 20.90)min, 差异具有统计学意义(P < 0.05);观察组产妇产后 2 h、24 h 出血量均少于对照组,差异具有统计学意义(P < 0.05)。 结论:自拟催生汤联合缩宫素对于缩短产程及预防产后出血较常规缩宫素疗效更加明显,且安全有效,副作用少。

    Abstract:

    AbstractObjective To study the application of self-designed Cuisheng decoction in labor, mainly observe the second stage of labor time and postpartum blood loss in parturients. Methods A total of 100 parturients with vaginal delivery who visited Changde First Hospital of Traditional Chinese Medicine from July 2020 to July 2021 were selected and randomly divided into an observation group and a control group, with 50 cases in each group. After the beginning of labor, the parturients in the observation group were given self-designed Cuisheng decoction on the basis of conventional Western medicine treatment, and the parturients in the control group were routinely treated with oxytocin. Evidence-based medicine techniques and methods were used to evaluate and analyze the clinical efficacy of the two groups of parturients. Results The second stage of labor time in the observation group was (28.66 ± 12.18) min, which was shorter than those in the control group (63.30 ± 20.90) min, and the difference was statistically significant (P < 0.05). The postpartum blood loss 2 hours and 24 hours in the observation group were less than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion Compared with conventional oxytocin treatment, self-designed Cuisheng decoction combined with oxytocin has more obvious efficacy in shortening labor and preventing postpartum bleeding, and is safe and effective with fewer side effects.

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  • 收稿日期:2023-12-19
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  • 在线发布日期: 2024-06-28
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