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枳术汤辅助治疗对剖宫产术后产妇肠动力恢复和血清胃泌素、泌乳素的影响
引用本文:于胜男,黄巧玲,辛春兰,刘丽丽,刘俊华. 枳术汤辅助治疗对剖宫产术后产妇肠动力恢复和血清胃泌素、泌乳素的影响[J]. 陕西中医, 2022, 0(4): 453-456. DOI: DOI:10.3969/j.issn.1000- 7369.2022.04.010
作者姓名:于胜男  黄巧玲  辛春兰  刘丽丽  刘俊华
作者单位:(郑州市中医院妇产科,河南 郑州 450007)
基金项目:河南省中医药科学研究专项课题(2018ZY3004);
摘    要:目的:探讨枳术汤辅助治疗对剖宫产产妇术后肠动力恢复和血清胃泌素、泌乳素的影响.方法:选取行剖宫产手术产妇100例,随机将产妇分为观察组和对照组,各50例.对照组采用常规对症支持治疗,观察组在对照组基础上采用枳术汤治疗,均持续治疗6d.比较两组临床疗效、胃肠道功能恢复情况比较、术后5d泌乳情况.比较两组产妇治疗前后血清胃...

关 键 词:剖宫产  枳术汤  胃肠道功能  乳汁分泌  胃动素  产妇

Effects of adjuvant therapy with Zhizhu decoction on postoperative recovery of gastrointestinal motility,serum gastrin and prolactin after cesarean section
YU Shengnan,HUANG Qiaoling,XIN Chunlan,LIU Lili,LIU Junhua. Effects of adjuvant therapy with Zhizhu decoction on postoperative recovery of gastrointestinal motility,serum gastrin and prolactin after cesarean section[J]. Shaanxi Journal of Traditional Chinese Medicine, 2022, 0(4): 453-456. DOI: DOI:10.3969/j.issn.1000- 7369.2022.04.010
Authors:YU Shengnan  HUANG Qiaoling  XIN Chunlan  LIU Lili  LIU Junhua
Affiliation:(Department of Obstetrics and Gynecology,Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou 450007,China)
Abstract:Objective:To explore the effects of adjuvant therapy with Zhizhu decoction on the recovery of gastrointestinal motility,serum gastrin(GAS)and prolactin in postportum women after cesarean section.Methods:According to simple random grouping method,100 patients undergoing cesarean section were divided into observation group and control group,50 cases in each group.The control group was given routine symptomatic support treatment,while observation group was treated with Zhizhu decoction on basis of control group.All were continuously treated for 6 d.The clinical curative effect,recovery of gastrointestinal function,lactation at 5 d after surgery,levels of serum GAS,vasoactive intestinal peptide(VIP)and motilin(MTL)before and after treatment,and levels of hemoglobin,prolactin and neonatal jaundice index at 5 d after surgery were compared between the two groups.The complications during treatment in both groups were recorded.Results:The response rate of treatment in observation group was significantly higher than that in control group(P<0.05).The recovery time of bowel sounds,the first exhaust time and the first defecation time in observation group were significantly shorter than those in control group(P<0.05),exhaust and defecation rates at 24 h after surgery were significantly higher than those in control group(P<0.05).The postoperative start time of lactation in observation group was earlier than that in control group,and proportion of cases with normal and better lactation was higher than that in control group(P<0.05).After treatment,levels of GAS,MTL and prolactin in observation group were significantly higher than those in control group,while levels of VIP and neonatal jaundice index were lower than those in control group.There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The Zhizhu decoction can significantly promote the recovery of gastrointestinal function,shorten lactation time and increase lactation yield in postportum women after cesarean section.
Keywords:Cesarean section  Zhizhu decoction  Gastrointestinal function  Lactation  Motilin  Postportum women
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