艾灸神阙穴辅助宫缩药治疗宫缩乏力性产后出血的临床效果分析(1)

http://www.100md.com 2018年5月25日 《中国现代医生》 201815

     [摘要] 目的 研究艾灸神阙穴辅助宫缩药治疗宫缩乏力性产后出血的临床效果。 方法 本次研究选取的研究对象为2016年7月7日～2017年7月8日期间在我院进行治疗的宫缩乏力性产后出血患者80例，将患者计算机随机分为两组，各40例。将实施常规西医治疗的患者纳入对照组，将采用艾灸神阙穴辅助宫缩药治疗的患者设为观察组。将两组宫缩乏力性产后出血患者的治疗效果、出血情况、血液指标进行比较。 结果 观察组宫缩乏力性产后出血患者的产后2 h出血量和产后24 h出血量均少于对照组(P<0.05)，临床总有效率和治疗后的红细胞计数、红细胞压积、血红蛋白水平均高于对照组(P<0.05)。 结论 在宫缩乏力性产后出血的治疗中采用艾灸神阙穴联合宫缩药的方法具有良好的止血效果。

    [关键词] 宫缩乏力性产后出血；艾灸；神阙穴；宫缩药

    [中图分类号] R271.9 [文献标识码] B [文章编号] 1673-9701(2018)15-0057-04

    Clinical effect of moxibustion at Shenque acupoint assisted with uterine contraction drugs on uterine inertia postpartum hemorrhage

    RUI Xuefeng CHAI Chunyu

    Department of Obstetrics and Gynecology， Jiashan Hospital of Traditional Chinese Medicine， Jiashan 314100， China

    [Abstract] Objective To study the clinical effect of moxibustion at Shenque acupoint assisted with uterine contraction drugs on uterine inertia postpartum hemorrhage. Methods The patients with uterine inertia postpartum hemorrhage treated in our hospital from July 7， 2016 to July 8， 2017 were selected as the study subjects. The 80 patients were randomLy divided into two groups： with 40 cases in each group. The patients who underwent routine western medicine treatment were included in the control group， and the patients were treated with moxibustion at Shenque acupoint assisted with uterine contraction drugs were selected as the observation group. The treatment effect， bleeding and blood indicators between two groups of uterine inertia postpartum hemorrhage were compared. Results The postpartum 2 h bleeding amount and postpartum 24h bleeding amount in the uterine inertia postpartum hemorrhage patients in the observation group was less than that in the control group(P<0.05). The total clinical effective rate and the red blood cell count， hematocrit and hemoglobin after treatment in the obwervation group was higher than that of the control group(P<0.05). Conclusion Moxibustion at Shenque acupoint combined with uterine contraction drugs in the treatment of uterine inertia postpartum hemorrhage has a good hemostatic effect.

    [Key words] Uterine inertia postpartum hemorrhage； Moxibustion； Shenque acupoint； Uterine contraction drugs

    產后出血可能会导致产妇死亡，是孕产妇致死性的原因之一，而宫缩乏力是导致70%以上的产妇产后出血的重要危险因素，另外凝血功能障碍、软产道损伤以及胎盘因素也是导致产后出血主要原因，因此针对存在产后宫缩乏力的产妇应及时做好防治工作，使产后出血量减少，保证产妇的安全。临床上一般采用米索前列醇、缩宫素等治疗宫缩乏力，促子宫收缩及止血效果相对较好。近年来中医技术在临床中的推广使用，促使临床加强可中医防治产后出血的研究。选取我院收治的宫缩乏力性产后出血患者80例开展本次研究，目的在于探讨艾灸神阙穴辅助宫缩药应用在该病治疗中的效果，现报道如下。

    1 资料与方法

    1.1 一般资料, 百拇医药(芮雪峰 柴春瑜)

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