| BackgroundWhen the involution is impaired or retarded it is called subinvolution. The uterus is the most common organ affected by subinvolution. As it is the most accessible organ to be measured per abdomen, the uterine involution is considered clinically as an index to assess subinvolution. Predisposing factors include grand multiparity, overdistension of uterus as in twins and hydramnios, ill maternal health, caesarean section, uterine prolapsed, retroversion after the uterus becomes pelvic organ, uterine fibroidThe condition may be asymptomatic. The predominant symptoms are:Abnormal lochial discharge either excessive or prolonged. Irregular or at times excessive uterine bleeding. Irregular cramp like pain is cases of retained products or rise of temperature in sepsis. The uterine height is greater than the normal for the particular day of puerperium. Normal puerperal uterus may be displaced by a full bladder or a loaded rectum. It feels boggy and softer upon palpation.Object i veThe world’s highest rate of cesarean section, and rising year by year. A large number of studies have shown that cesarean section uterine instauration process significantly worse than natural birth. TCM holds that postpartum blood stasis and blood stasis in internal resistance, is women’s physiological characteristics. Gold blade damage cell palace combined with surgery, blood loss is heavier, lochia discharge, make the cell miyahisa drainage is not hidden, blood. Postpartum lochia of treatment in traditional Chinese medical records, and the most commonly used formula for biochemical soup. This study by caesarean section maternal as the research object, on the basis of conventional nursing, adopt the method of randomized, controlled, from hemorrhagic duration of lochia and discharge, blood rheology and the decrease of the fundus of multi-angle evaluation such as height and the change of TCM syndrome and biochemical soup original party proportion and clinical commonly used dose effects on maternal uterine instauration.Methods:This study in guangzhou university of Chinese medicine the first affiliated hospital ward to collect meet eligibility criteria and is willing to participate in the treatment of cesarean section full-term birth, research since March 2015, until the end of November 2015, a total revenue of 90 patients. Biochemical soup were randomly divided into the original party group, the routine biochemical decoction dose group 45 cases each. Inclusion criteria included:1. The older than 21 years less than 40 years old; 2 puerpera childbirth gestational age greater than or equal to 37 weeks less than 42 weeks, single child; 3 cesarean delivery process is smooth, intraoperative and postoperative no emergency and severe cases, such as uterine bleeding, shock and the whole cut or cut time, etc. Incorporated into the routine nursing care after cesarean section cases,2 days postpartum oral biochemical soup, using simple digital random method is divided into two groups. In each group 45 cases. Biochemical soup of the original party groups:24 g angelica sinensis, rhizoma ligustici wallichii 9 g, peach kernel 14, ginger 1.5 g, liquorice 1.5 g. Routine biochemical decoction dose groups:15 g angelica sinensis, rhizoma ligustici wallichii 10 g, peach kernel,10 g, ginger 10 g, liquorice 10 g. Two groups of traditional Chinese medicine decoction method is the same: a daily dose of cold medicine 3 cm, soak 30 minutes, to make considered additions decoction time, yellow rice wine in a fire at the decoction for 20 minutes after the water boils, even served 7 days. Observe two groups before and after treatment of vaginal hemorrhagic duration and quantity of lochia lochia, blood rheology, fundus drop height, such as change of syndromes.ResuIts:1, the balance between groupsThis study adopts the method of randomized controlled trials for clinical trials, a total of 90 cases of eligible patients. Taking the original party biochemical soup cesarean delivery of maternal age 24 years old, smallest largest,31, the lightest weight 55 kg, the heaviest 66 kg, lowest height 155 cm,168.2 cm. Take regular doses of caesarean section maternal age 23 years old, smallest largest 33, the lightest weight 57 kg, the heaviest 64 kg, the minimum height 157 cm,167.5 cm. There was no statistically significant difference after two groups of data statistics, two groups of good balance, comparable (p> 0.05). Taking cesarean section maternal educational level of the original party biochemical soup in junior middle school and the following five cases,9 cases of high school, college and above 16 cases; 10 cases of career is a housewife or unemployed, knowledge workers 15 cases,5 cases manual workers. Take regular doses of cesarean delivery of maternal educational level in junior middle school and the following six,7 cases of high school, college and above 17 cases; Career is a housewife or unemployed in 11 cases, knowledge workers in 16 cases, manual workers (3 cases).There was no statistically significant difference after two groups of data statistics, two groups of good balance, comparable (p> 0.05).Taking the original party biochemical soup of cesarean section in the maternal pregnant for the first time in 13 cases, the second time in 17 cases of pregnancy; First-time mothers 22 cases,8 cases had one. Take regular doses of cesarean section in the maternal pregnant for the first time in 11 cases,17 cases of the second pregnancy, the third time in two cases of pregnancy; Primipara (19 cases), has the 9 cases of birth once, had twice in 2 cases. There was no statistically significant difference after two groups of data statistics, two groups of good balance, comparable (p> 0.05). Taking biochemical soup of the original party cesarean delivery mothers and take regular doses of biochemical soup before cesarean section in the treatment of maternal whole blood high shear viscosity of whole blood relative viscosity, the relative plasma viscosity, blood sedimentation, red blood cells deposited, value comparison have good comparable (p> 0.05). Biochemical soup in TCM syndrome integral, taking the original party of cesarean delivery mothers and take regular doses of biochemical soup of cesarean delivery on maternal lochia, abdominal pain, lumbar acid, the degree of fatigue, shortness of breath lazy said god is consistent, can compare (p> 0.05).2, after treatmentTaking biochemical soup of the original party caesarean section maternal hemorrhagic lochia last days with an average of 12.12 and 2.13 days, obviously is the shorter of the biochemical soup take regular doses of maternal (an average of 18.12 and 5.34 days), examined the statistical significant difference (P< 0.05).Taking biochemical maternal hemorrhagic lochia soup of the original party cesarean delivery quantity on postoperative day 1 and 3 are respectively 162.17 and 27.13 ml,27.13 and 38.13 ml, biochemical soup and take regular doses of maternal (are respectively 161.30 and 29.11 ml, 40.56 and 4.12 ml) comparison difference by statistical tests meaningless (P> 0.05); Taking biochemical maternal hemorrhagic lochia soup of the original party cesarean delivery is 5 days after surgery to observe 10.29 and 2.58 ml, biochemical soup significantly compared with conventional dose of maternal reduce (16.31 and 3.40 ml), examined the statistical significant difference (P< 0.05). Taking biochemical soup of the original party cesarean section maternal fundus dropped than on postoperative days 1,3 and take regular doses of soup of maternal comparative differences through statistical tests meaningless (P> 0.05); Taking biochemical soup of the original party cesarean section maternal fundus dropped significantly more than when five days after surgery to observe biochemical soup take regular doses of maternal, examined the statistical significant difference (P< 0.05). Taking biochemical soup of the original party cesarean delivery mothers and take regular doses of biochemical soup of maternal, all the indexes of hemorheology were significantly lower than before treatment (P< 0.01); In reducing the whole blood high shear viscosity of whole blood relative viscosity, relative, blood sedimentation, red blood cell pressure product, etc., there was no significant difference, both the original party taking biochemical soup of cesarean delivery of maternal plasma viscosity value more than take regular doses of the maternal biochemical soup significantly lower (P< 0.01). Cesarean delivery mothers no matter on the original biochemical soup or a regular doses of biochemical soup, lochia, abdominal pain, lumbar acid, fatigue, shortness of breath lazy word is god before taking the medicine improved significantly (P< 0.05). Cesarean delivery lochia after taking biochemical soup of the original party to improve maternal, fatigue, shortness of breath lazy said god have more advantages than take regular doses (P< 0.05).Conclusion:1, deficiency, kidney deficiency, blood stasis is caesarean section maternal prominent TCM syndrome characteristics.2, women taking cesarean section biochemical decoction can effectively prevent postpartum lochia.3, according to the Fu Qing main women’s medicine proportion and processing way tisanes maternal in hemorrhagic duration of lochia, hemorrhagic lochia, fundus drop ratio, amount of plasma viscosity values, TCM syndrome (e. g., lochia, god stasis fatigue, shortness of breath lazy speech, etc.) to improve the degree than according to the clinical routine dose for maternal ideal. |
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