厚朴排气合剂对瘢痕子宫产妇再次剖宫产术后胃肠功能恢复和泌乳启动时间、初次泌乳量的影响OA
Effect of Houpo Paiqi Mixture on Gastrointestinal Function Recovery,Lactation Start Time and First Lactation Volume after Repeated Cesarean Section of Scarred Uterus Puerpera
目的:探讨厚朴排气合剂对瘢痕子宫产妇再次剖宫产术后胃肠功能恢复和泌乳启动时间、初次泌乳量的影响.方法:回顾性分析赣州市妇幼保健院 2021 年 9 月—2023 年 1 月收治的 91 例再次剖宫产的瘢痕子宫产妇的临床资料,将采用常规治疗的 37 例纳入常规组,将在常规组基础上应用厚朴排气合剂治疗的 54 例纳入中药组.比较两组胃肠功能恢复情况(首次肛门排气时间、肠鸣音恢复时间、首次排便时间)、血清胃肠激素[胃动素(MTL)、血管活性相关肠肽(VIP)、胃泌素(GAS)]、腹胀程度、泌乳启动时间、初次泌乳量、乳房胀痛情况、住院时长及并发症发生情况.结果:中药组泌乳启动时间、首次肛门排气时间、肠鸣音恢复时间、首次排便时间、住院时长均短于常规组(P<0.05).术后 48 h,两组GAS、MTL水平均升高,VIP水平均降低,且中药组血清胃肠激素水平均优于常规组(P<0.05).术后48 h,中药组腹胀程度轻于常规组(P<0.05),乳房胀痛情况轻于常规组(P<0.05).中药组初次泌乳量多于常规组,差异有统计学意义(P<0.05).中药组并发症发生率低于常规组(P<0.05).结论:厚朴排气合剂可调节胃肠激素水平,有效促进瘢痕子宫产妇再次剖宫产术后胃肠功能的恢复,缩短初次泌乳时间,增加泌乳量,减轻患者临床症状,减少并发症的发生,促进产妇康复.
Objective:To investigate the effect of Houpo Paiqi Mixture on gastrointestinal function recovery,lactation initiation time and first lactation volume after repeated cesarean section of scarred uterus puerpera.Method:The clinical data of 91 puerpera with scarred uterus who underwent cesarean section again admitted to Ganzhou Women and Children's Health Care Hospital from September 2021 to January 2023 were retrospectively analyzed,37 patients who received routine treatment were included in the conventional group,and 54 patients who received Houpo Paiqi Mixture on the basis of the conventional group were included in the traditional Chinese medicine group.The recovery of gastrointestinal function(first anal exhaust time,recovery time of bowel sounds,first defecation time),serum gastrointestinal hormones[motilin(MTL),vasoactive intestinal peptide(VIP),gastrin(GAS)],degree of abdominal distension,start time of lactation,first lactation volume,breast distending pain,length of hospital stay and complications were compared between the two groups.Result:The lactation start time,the first anal exhaust time,the recovery time of bowel sounds,the first defecation time and the length of hospital stay in the traditional Chinese medicine group were shorter than those in the conventional group(P<0.05).48 hours after surgery,the levels of GAS and MTL in the two groups increased,and the levels of VIP decreased,and the levels of serum gastrointestinal hormones in the traditional Chinese medicine group were better than those in the conventional group(P<0.05).48 hours after surgery,the degree of abdominal distension in the traditional Chinese medicine group was lighter than that in the conventional group(P<0.05),and breast distending pain in the traditional Chinese medicine group was less than that in the conventional group(P<0.05).The first lactation volume in the traditional Chinese medicine group was more than that in the conventional group,the difference was statistically significant(P<0.05).The incidence of complications in the traditional Chinese medicine group was lower than that in the conventional group(P<0.05).Conclusion:Houpo Paiqi Mixture can regulate the level of gastrointestinal hormones,effectively promote the recovery of gastrointestinal function after cesarean section in women with scarred uterus,shorten the time of first lactation,increase the amount of lactation,reduce the clinical symptoms of patients,reduce the occurrence of complications,and promote maternal rehabilitation.
胡春霞
赣州市妇幼保健院产科 江西 赣州 341000
厚朴排气合剂瘢痕子宫剖宫产术胃肠功能恢复泌乳功能
Houpo Paiqi MixtureScarred uterusCesarean sectionGastrointestinal function recoveryLactation function
《中国医学创新》 2024 (011)
130-134 / 5
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