清热凉血安宫汤对血热型产后恶露不绝的临床效果分析.docxVIP

清热凉血安宫汤对血热型产后恶露不绝的临床效果分析 　　[摘要]目的 探讨清热凉血安宫汤治疗血热型产后恶露不绝的临床效果。方法 分析我院XX年2月～XX年3月收治的血?嵝筒?后恶露不绝患者60例的临床资料，依据治疗措施不同进行分组，对照组30例和观察组30例。观察两组患者的恶露结束时间、子宫三径、临床效果。结果 观察组患者的恶露结束时间为d，短于对照组的d，子宫三径为cm3，小于对照组的cm3。观察组的总有效率为100%，高于对照组的80%，差异有统计学意义。结论 清热凉血安宫汤治疗血热型产后恶露不绝患者临床效果明显，可缩短缩短恶露结束时间，减小子宫三径，值得临床推广应用。　　[关键词]清热凉血安宫汤；血热型；产后恶露不绝；效果　　[中图分类号] [文献标识码] A [文章编号] 1674--0157-03　　[Abstract]Objective To explore the clinical effect of Qingre Liangxue Angong Decoction treating postpartum lochiorrhea of type Clinical data of 60 patients with postpartum lochiorrhea treated in our hospital from February XX to March XX was analyzed and they were grouped according to the treatment measure：the control group and detection group .The end time of lochia，the three diameter of uterus and clinical effect in patients of the two groups were The end time of lochia [ d] in patients of the observation group was shorter than that of the control group [ d]，the three diameter of uterus [ cm3] was smaller than that of the control group [ cm3] .The total effective rate of the observation group was 100%，which was higher than that of the control group ，and the difference was statistically significant .Conclusion The clinical effect of Qingre Liangxue Angong Decoction treating postpartum lochiorrhea of type blood-heat is obvious，and can shorten the end time of lochia，reduce the three diameter of is worthy of clinical promotion and application.　　[Key words]Qingre Liangxue Angong Decoction；Type blood-heat；Postpartum lochiorrhea；Effect　　产后恶露不绝主要是指产妇产后血性恶露持续数日不净，恶露的色、质、量及气味均有不同程度的变化，且产妇神疲乏力、气短、下腹部胀痛，甚至可发生全身不适感[1-2]。如果继发感染产妇可能发生寒战、低热表现，出血量较多时可能并发贫血，严重者造成失血性休克[3-4]。本研究通过对我院收治的60例血热型产后恶露不绝患者的临床资料进行分析，探讨清热凉血安宫汤治疗血热型产后恶露不绝的临床效果，从而为降低阴道出血时间，利于子宫内残留组织排出，防止产褥感染的发生，降低清宫率，提供可靠的理论依据。　　1 资料与方法　　 一般资料　　选取我院XX年2月～XX年3月收治的血热型产后恶露不绝患者60例的临床资料进行分析，依据治疗措施不同进行分组，对照组30例，年龄23～39岁，平均岁；观察组30例，年龄24～40岁，平均岁。纳入标准：患者均符合曹泽毅主编第2版《中华妇产科学》[5]中子宫复旧不全的诊断标准，《中医病证诊断疗效标准》中血热型产后恶露不绝的诊断标准[6]。排除标准：其他异常阴道出血患者，血液系统疾病、严重肝肾功能疾病、凝血功能障碍患者。本研究在我院医学伦理委员