| Objective: Buqi Sanyu Dingtong Decoction combined with thunder fire moxibustion was used to treat postpartum abdominal pain above grade 2 pain of qi deficiency and blood stasis type.The clinical efficacy of Buqi Sanyu Dingtong Decoction combined with thunder fire moxibustion in the treatment of postpartum abdominal pain of qi deficiency and blood stasis type was discussed by observing and recording the degree of abdominal pain,duration of abdominal pain,duration of lochia,area of uterine cavity hemorrhage,psychological and emotional state TCM syndrome score,so as to enrich the clinical diagnosis and treatment ideas and methods,in order to improve the physical and mental health of puerperal women.Methods:From January 2022 to December 2022 to the obstetrics department of the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,70 patients with postpartum abdominal pain of qi deficiency and blood stasis type who met the inclusion criteria were selected.Using SPSS20.0 software random number generator,they were randomly divided into two groups,treatment group(35 cases)and control group(35 cases).Both groups of patients were given routine postpartum care,such as psychological counseling,guidance of comfortable bed rest,perineal care and other basic interventions.The control group was given thunder fire moxibustion at bilateral uterine points + Zhongji point(1 time / day,about 20 minutes / time,to moxibustion to local skin flushing,touch the skin temperature increased,and deep tissue sensation fever is appropriate).The treatment group was given Buqi Sanyu Dingtong Decoction(1 bag / time,2times / day,30 minutes after breakfast and dinner)on the basis of the control group.The two groups strictly followed the doctor ’s advice for 7 days.Observe and record the VAS scores of the two groups of patients before treatment,24 h,48h,72 h and after treatment,the duration of abdominal pain,the total duration of bloody lochia and lochia,the area of uterine bleeding,the psychological and emotional state,the TCM syndrome score,adverse reactions,etc.The results were statistically analyzed and processed to evaluate the clinical efficacy of the two groups of patients.Results: 1.Baseline comparison between the two groups of patients : Before treatment,the age,labor process,delivery times,VAS score,uterine bleeding area,SAS score and TCM syndrome score of the two groups were compared.There was no significant difference in baseline data between the two groups(P > 0.05).2.In terms of the degree of abdominal pain: the degree of abdominal pain after treatment in both groups was significantly reduced compared with that before treatment,and the reduction in the treatment group was greater than that in the control group,and the difference was significant(P<0.05),indicating that the treatment of both groups had analgesic effect on postpartum abdominal pain,and the analgesic effect of the treatment group was better than that of the control group.3.In terms of abdominal pain time: there was a statistical difference in the duration of abdominal pain after treatment between the two groups(P<0.05),and it was considered that the treatment group was better than the control group in shortening the duration of abdominal pain.4.In terms of lochia duration: there were significant differences between the duration of bloody lochia and the total duration of lochia between the two groups(P<0.05),and it was concluded that the treatment group was significantly better than the control group in shortening the duration of bloody lochia and the total duration of lochia.5.In terms of hemohysteria: the area of hemohysteria in the two groups was reduced compared with the previous group,and the decrease in the treatment group was greater than that in the control group,and the difference was significant(P<0.05),indicating that both groups could effectively promote the discharge of hemohysterus,and the treatment group promoted the discharge of hemohysterus better than the control group,and it was known that there was no obvious adverse effect on uterine contraction to promote the discharge of hemouterine while alleviating postpartum abdominal pain.6.Mental emotional state:(1)Anxiety: The post-treatment anxiety scores of both groups decreased compared with those before treatment,and the decline in the treatment group was greater than that in the control group,and the difference was significant(P<0.05),and it was believed that both groups could improve the negative mood of postpartum anxiety,and the improvement degree of treatment group was better than that of the control group.(2)Postpartum depression: After treatment,the level of depressed mood in the treatment group at 2 weeks postpartum and 6 weeks after delivery was lower than that in the control group,and the difference was significant(P<0.05),and it was believed that the treatment group was better than the control group in reducing the breeding of postpartum bad mood and improving postpartum depression.7.In terms of TCM syndrome score: the total score of TCM syndrome in both groups decreased compared with the previous one,and the decrease in the treatment group was greater than that in the control group,and the difference was significant(P<0.05).After treatment,the scores of TCM symptoms in the treatment group decreased significantly compared with before treatment(P<0.05),the dizziness scores after treatment in the control group were not statistically significant(P>0.05),and the remaining TCM syndrome scores decreased compared with before treatment,and the difference was significant(P<0.05).The results showed that both groups could improve the degree of abdominal pain,abdominal pain time,blood clots,lochia blood,lochia blood quality,fatigue,and self-sweating,and the efficacy of the treatment group was better than that of the control group.The treatment group could improve dizziness symptoms,while the control group had no obvious effect on improving dizziness symptoms.8.Comparison of the overall clinical efficacy of TCM: after the end of the course,the total effective rate of the treatment group was 93.75%,and the total effective rate of the control group was 81.81%,and the difference was significant(P<0.05).The results showed that the combination of Qi Tonifying and Blood Stasis Pain Fixing Soup combined with Lei Huo Moxibustion had better clinical efficacy than the control group in improving postpartum abdominal pain with Qi deficiency and blood stasis.Conclusion: Buqi Sanyu Dingtong Decoction combined with thunder fire moxibustion can effectively relieve postpartum abdominal pain above grade 2pain of qi deficiency and blood stasis type,shorten the time of abdominal pain and lochia,and promote uterine contraction while relieving pain.There is no obvious adverse effect on the discharge of blood and lochia,and can effectively promote the discharge of blood and lochia in the uterine cavity,improve the relevant syndromes of traditional Chinese medicine,and fundamentally improve the constitution of patients with postpartum abdominal pain of qi deficiency and blood stasis type.Severe pain can cause maternal anxiety,depression and other negative emotions.This study found that after the pain was better alleviated,the breeding of postpartum negative emotions was reduced,and the physical and mental health of puerperal women was improved.There were no serious adverse reactions in the study.It is an effective treatment plan that can be safely applied during lactation and provides a choice for clinical treatment. |
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