Clinical Observation On The Method Of Nourishing Kidney And Activating Blood Circulation To Prevent Oligohydramnios

Objective: To study the clinical effect of Zishen Huoxue decoction combined with drinking water in preventing oligohydramnios.To observe the effect of traditional Chinese medicine combined with drinking water on amniotic fluid volume,clinical symptoms and delivery outcome in patients with oligohydramnios.To explore the mechanism of nourishing kidney and activating blood circulation in the prevention of oligohydramnios.Methods:A total of 70 patients with oligohydramnios with kidney deficiency and blood stasis were selected according to the syndrome differentiation of traditional Chinese medicine.The patients were randomly divided into experimental group(n = 35)and control group(n = 35).The control group was treated with oral drinking water therapy,and the experimental group was treated with Zishen Huoxue decoction on the basis of the control group.The patients in the two groups were treated continuously for 7 days.Before and after treatment,the vertical depth of maximum dark area of amniotic fluid(AFV),amniotic fluid index(AFI),ratio of umbilical artery systolic blood flow to end diastole(S/D),uterine height and abdominal circumference,kidney deficiency and blood stasis syndrome score were recorded before and after treatment;The incidence of oligohydramnios in the two groups after treatment was calculated.Record the patients of the two groups after treatment.(recurrence rate,gestational age of delivery,mode of delivery,amniotic fluid contamination,neonatal Apgar score,neonatal weight)Results:⑴The levels of AFV and AFI in the experimental group were higher than those in the control group,and the S/D in the experimental group was lower than that in the control group.The difference was statistically significant(P<0.05).⑵After treatment,the incidence of oligohydramnios in the control group was higher than that in the experimental group,and the difference was statistically significant(P<0.05).⑶Comparison of syndrome score and curative effect of traditional Chinese medicine:a.The main syndrome is that the abdominal shape is too small,which is expressed by the measured value of uterine height and abdominal circumference.The increase of uterine height in the experimental group was better than that in the control group(P<0.05),but there was no significant difference in abdominal circumference between the two groups(P>0.05).b.Comparison of syndrome scores of secondary syndrome: In terms of the symptoms of "sore waist and knees","dizziness and tinnitus","hot flashes and sweating","forgetfulness" and "limb numbness",the improvement of syndrome in the experimental group was better than that in the control group,which was statistically significant(P<0.05).There was no significant difference in the improvement of "dry mouth and pharynx","skin nail error" and "dark or dark face and lips" syndrome(P>0.05).After treatment,the total score of Traditional Chinese medicine secondary symptoms in the experimental group was significantly lower than that in the control group(P<0.05).Compared with the total curative effect of Traditional Chinese medicine syndrome between the two groups,the therapeutic effect of the experimental group was better than that of the control group,which was statistically significant(P<0.05).⑷Compared with the situation of follow-up:the recurrence rate,cesarean section rate and amniotic fluid contamination in the experimental group were significantly lower than those in the control group(P<0.05).There was no significant difference in the incidence of postpartum hemorrhage,neonatal Apgar score and neonatal weight between the two groups(P>0.05)Conclusion:The method of nourishing kidney and activating blood circulation can effectively reduce the incidence of oligohydramnios and improve the amniotic fluid volume and clinical syndrome of patients with oligohydramnios,reduce the recurrence rate,cesarean section rate,amniotic fluid contamination rate,better prevent the occurrence of oligohydramnios.