[1]高 育,蒋艳丽,张 娜.逐瘀清宫方结合穴位按摩对自然分娩产妇子宫恢复及血流动力学的影响[J].陕西中医,2025,46(5):689-693.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.025]
　GAO Yu,JIANG Yanli,ZHANG Na.Effect of Zhuyu Qinggong prescription combined with acupoint massage on uterine recovery and hemodynamics of parturient women in natural delivery[J].,2025,46(5):689-693.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.025]
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逐瘀清宫方结合穴位按摩对自然分娩产妇子宫恢复及血流动力学的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年5期
页码:
689-693
栏目:
针灸经络
出版日期:
2025-05-05

文章信息/Info

Title:
Effect of Zhuyu Qinggong prescription combined with acupoint massage on uterine recovery and hemodynamics of parturient women in natural delivery
作者:
高 育; 蒋艳丽; 张 娜
(西北妇女儿童医院妇产科,陕西 西安 710061)
Author(s):
GAO Yu; JIANG Yanli; ZHANG Na
(Department of Obstetrics and Gynecology,Northwest Women and Children's Hospital,Xi'an 710061,China)
关键词:
逐瘀清宫方;  穴位按摩;  自然分娩;  宫腔组织残留;  子宫恢复;  血流动力学
Keywords:
Zhuyu Qinggong prescription;  Acupressure;  Uterine tissue remains;  Uterine recovery;  Hemodynamics
分类号:
R 271.43
DOI:
DOI:10.3969/j.issn.1000-7369.2025.05.025
文献标志码:
A
摘要:
目的:研究逐瘀清宫方结合穴位按摩对自然分娩产妇子宫恢复及血流动力学的影响。方法:前瞻性选取自然分娩产后宫腔组织残留产妇128例,采用数字随机法均分为两组,每组64例。对照组给予常规缩宫素治疗,观察组在对照组基础上给予逐瘀清宫方结合穴位按摩治疗。对比观察两组临床疗效,治疗后宫腔组织残留面积、临床症状改善(阴道出血时间、恶露持续时间、腹痛持续时间)及子宫复旧情况(子宫三径之和、子宫纳入骨盆时间、子宫下降速度、子宫收缩能力); 观察两组治疗前后血清基质金属蛋白酶9(MMP-9)、基质金属蛋白酶抑制因子1(TIMP-1)、β-人绒毛膜促性腺激素(β-HCG)水平及子宫血流动力学参数[收缩期峰值血流速度(PSV)、子宫螺旋动脉阻力指数(RI)、搏动指数(PI)]变化。结果:观察组临床总有效率高于对照组(P<0.05)。治疗后,观察组宫腔残留物面积、临床症状改善及子宫复旧情况优于对照组(P<0.05)。观察组血清β-HCG、MMP-9水平明显低于对照组,TIMP-1水平明显高于对照组(P<0.05)。观察组血清PI、RI水平明显低于对照组,PSV水平明显高于对照组(P<0.05)。两组不良反应发生率差异比较无统计学意义(P>0.05)。结论:逐瘀清宫方结合穴位按摩利于促进自然分娩产妇产后宫腔内残留组织物的排出,提高临床疗效,减少产后出血,改善临床症状及子宫血流动力学,促进子宫内膜修复及子宫复旧,安全有效。
Abstract:
Objective:To study the effect of Zhuyu Qinggong prescription combined with acupoint massage on uterine recovery and hemodynamics of parturient women in natural delivery.Methods:A total of 128 women with residual uterine tissue were prospectively selected and divided into two groups by digital random method,with 64 cases in each group.The control group was treated with conventional oxytocin,and the observation group was treated with Zhuyu Qinggong prescription combined with acupoint massage on the basis of the control group.The clinical efficacy,residual area of uterine cavity tissue,improvement of clinical symptoms(vaginal bleeding time,lotion duration,abdominal pain duration)and uterine involvements(the sum of three diameters of uterus,the time of uterus into pelvis,the rate of uterine descent,and uterine contraction ability)were compared between the two groups after treatment.The changes of serum matrix metalloprotein 9(MMP-9),tissue inhibitor of metal protease 1(TIMP-1),β-human chorionic gonadotrophin(β-HCG)levels and endometrial hemodynamic parameters [peak systolic velocity(PSV),resistance index(RI),pulsitility index(PI)] were observed before and after treatment in the two groups.Results:The total clinical effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the uterine residue area,improvement of clinical symptoms and uterine involution in the observation group were better than those in the control group(P<0.05).The levels of β-HCG and MMP-9 in the observation group were significantly lower than those in the control group,and the levels of TIMP-1 were significantly higher than those in the control group(P<0.05).Serum PI and RI levels in observation group were significantly lower than those in control group,and PSV levels were significantly higher than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Zhuyu Qinggong prescription combined with acupoint massage is safe and effective in promoting the discharge of residual tissue in the uterine cavity of women with natural childbirth,improving clinical efficacy,reducing postpartum hemorrhage,improving clinical symptoms and uterine hemodynamics,and promoting endometrial repair and uterine rehabilitation.

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备注/Memo

备注/Memo:
[基金项目]陕西省科技厅一般项目-社会发展领域(2022SF-469)
更新日期/Last Update: 2025-05-08