督脉熏蒸对产后腹痛血寒证的临床应用效果观察

文章信息/Info

• Title:督脉熏蒸对产后腹痛血寒证的临床应用效果观察

• 卷期:2024年22卷17期

• 作者:肖美莲

• 江西省吉安市遂川县妇幼保健院孕产保健科，江西吉安，343900

• Author(s):Xiao Meilian

• Maternity and Maternity Health Care Department of Suichuan Maternal and Child Health Hospital, Ji'an City, Jiangxi Province

• 关键词产后腹痛；血寒证；督脉熏蒸；疼痛分级；腹痛程度；不良反应

• Keywords:Postpartum abdominal pain; Blood cold syndrome; Governor Vessel Fumigation; Pain grade; Degree of abdominal pain; Adverse reactions

• 摘要:目的：观察产后腹痛血寒证治疗中督脉熏蒸的临床应用效果。方法：回顾性选取2020年2月-2022年2月本院产后腹痛血寒证患者70例，依据干预方法分为常规干预基础上督脉熏蒸组（督脉熏蒸组）、常规干预组两组，各35例。统计分析两组疼痛分级、腹痛程度、中医症候积分、临床疗效、不良反应发生情况。结果：督脉熏蒸组患者的疼痛分级0级比率高于常规干预组（P<0.05），Ⅰ级、Ⅱ级、Ⅲ级比率均低于常规干预组（P<0.05）。督脉熏蒸组患者的PPI评分、PRI评分、VAS评分、中医症候积分均低于常规干预组（P<0.05）。督脉熏蒸组患者的总有效率97.14%（34/35）高于常规干预组77.14%（27/35）（χ2=4.590，P<0.05）。两组患者的不良反应发生率8.57%（3 2="0.000，P">0.05）。结论：产后腹痛血寒证治疗中督脉熏蒸的临床应用效果好。                                                                                                                                                                                

• Abstract To observe the clinical effect of Du Vessel fumigation in the treatment of postpartum abdominal pain with blood cold syndrome. Methods: Seventy patients with postpartum abdominal pain and blood cold syndrome in our hospital from February 2020 to February 2022 were retrospectively selected. According to the intervention methods, they were divided into two groups: Dumai fumigation group (Dumai fumigation group) and conventional intervention group (35 cases in each group). The pain grade, degree of abdominal pain, TCM symptom score, clinical efficacy and adverse reactions of the two groups were statistically analyzed. Results: The rate of pain grade 0 in the Dumai fumigation group was higher than that in the conventional intervention group (P<0.05), and the rates of grade I, II and III were lower than those in the conventional intervention group (P<0.05). The PPI score, PRI score, VAS score and TCM symptom score of patients in the Du Vessel fumigation group were lower than those in the conventional intervention group (P<0.05). The total effective rate of patients in Dumai fumigation group was 97.14% (34/35) higher than that in routine intervention group 77.14% (27/35)（ χ 2=4.590，P<0.05）。 2="0.000，P" there="" was="" no="" significant="" difference="" between="" the="" adverse="" reaction="" rates="" of="" and="" in="" two="">0.05）。 Conclusion: The clinical effect of Du Vessel fumigation in the treatment of postpartum abdominal pain with blood cold syndrome is good.

  产后腹痛指产妇下腹疼痛，发生在产褥期，和产褥或分娩相关，新产后是高发时期，出汗、全身紧张等是产妇表现，严重的情况下还有会具有异常的自主神经，表现为面色苍白、恶心呕吐等，出现时间、持续时间分别为产后1~2 d、2~3 d，在腹痛绵绵疼痛不已或有难以忍受的剧烈腹痛时，则为病态，严重影响患者产后恢复及生活质量[1]。产后腹痛的中医病机主要为产后体虚复感寒邪，造成气血缺乏通畅的运行，收缩子宫[2]。