通絡(luò)生乳方治療剖宮產(chǎn)后缺乳臨床效果觀察
發(fā)布時間:2018-01-27 16:45
本文關(guān)鍵詞: 通絡(luò)生乳方 缺乳 剖宮產(chǎn) 泌乳素 乳房脹度 泌乳量 出處:《中藥藥理與臨床》2017年02期 論文類型:期刊論文
【摘要】:目的:評價通絡(luò)生乳方治療剖宮產(chǎn)術(shù)后產(chǎn)婦缺乳的臨床療效及其安全性。方法:將202例剖宮產(chǎn)術(shù)后缺乳產(chǎn)婦隨機(jī)分為治療組(n=102),口服給予通絡(luò)生乳方連續(xù)7天,每日3次,每次50 ml(每次相當(dāng)于50 g生藥);對照組(n=100)不服用任何催乳藥物。治療前后進(jìn)行常規(guī)體檢,觀察乳房脹度,測量血清泌乳素、泌乳量和乳汁中蛋白質(zhì)含量,評價療效。結(jié)果:觀察期間未見到明顯不良反應(yīng)。兩組產(chǎn)婦在治療前的血清泌乳素、乳房脹度和泌乳量比較差異均無統(tǒng)計學(xué)意義。治療組產(chǎn)婦服用通絡(luò)生乳方7天后,血清泌乳素水平達(dá)到(369.2±87.7)μg/L,乳房脹度顯著增加,總積分均值達(dá)(7.6±2.6),泌乳量平均增加了(24.0±14.7)ml,與自身試驗前及對照組比較,差異均有統(tǒng)計學(xué)意義。治療7天后,總有效率治療組達(dá)90.2%,與對照組的44.0%比較,差異有統(tǒng)計學(xué)意義,而兩組產(chǎn)婦乳汁中蛋白質(zhì)含量未見明顯差別。結(jié)論:通絡(luò)生乳方對剖宮產(chǎn)術(shù)后缺乳產(chǎn)婦安全有效。
[Abstract]:Objective: to evaluate the clinical efficacy and safety of Tongluo Shengru recipe (Tongluo Shengru recipe) in the treatment of lack of milk after cesarean section. Methods: 202 cases of women with lack of milk after cesarean section were randomly divided into treatment group (n = 102). Tongluo Shengru recipe was given orally for 7 consecutive days, 3 times a day, each time 50 ml (equal to 50 g crude medicine each time); The control group did not take any prolactin. Routine physical examination was performed before and after treatment. Breast distension was observed, serum prolactin, lactation volume and protein content in milk were measured. Results: no obvious adverse reactions were observed during the observation period. The serum prolactin levels of the two groups were measured before treatment. There was no significant difference in breast distention and lactation volume. In the treatment group, the serum prolactin level reached 369.2 鹵87.7 渭 g / L after taking Tongluo Shengru recipe for 7 days. The breast distention increased significantly, the mean value of total integral was 7.6 鹵2.6g, and the average lactation volume increased 24.0 鹵14.7 ml, which was compared with that before the self-test and the control group. After 7 days of treatment, the total effective rate in the treatment group reached 90.2%, which was significantly higher than that in the control group (44.0%). Conclusion: Tongluo Shengru recipe is safe and effective for breast-deficient women after cesarean section.
【作者單位】: 湖南省疾病預(yù)防控制中心;湖南省婦幼保健院;湖南師范大學(xué)醫(yī)學(xué)院;
【基金】:湖南省中醫(yī)藥科研計劃項目(201407)
【分類號】:R271.4
【正文快照】: 3湖南師范大學(xué)醫(yī)學(xué)院,長沙410013)產(chǎn)后缺乳是產(chǎn)婦在哺乳時乳腺泌乳量甚少或全無,不能滿足嬰兒喂養(yǎng)需要。該病多發(fā)生在產(chǎn)后的2~3天至半月內(nèi),發(fā)病率約為產(chǎn)婦的20%~30%[1]。近年來,隨著二孩政策的全面放開,產(chǎn)婦年齡趨高,剖宮產(chǎn)率相對上升以及妊娠期精神過度緊張、產(chǎn)后疲勞、乳腺
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