| Based on the preliminary studies of Yunpiyin in the treatment of gynecological surgery postoperative complications, it is to observe the clinical efficacy and drug safety of the modification of Yunpiyin in promoting restoration of the gastrointestinal function,milk-secretion,involution uterus etc. It adds an extra efficient,economical and safe way to promote the recovery of cesarean section. It is hoped to be popularized in clinical to promote recovery of the patient from cesarean section and infant's healthy growth.MethodsIn this study, on the early clinical research basis, it selects 100 cases from Maternity and child Health Hospital obstetrical in-patient department of Yuexiu district in Guangzhou(inclusion criteria and exclusion criteria).Through a simple randomized grouping method, the surgery date that are odd date are assigned as observation group(50 cases), those are even are assigned as control group(50 cases). Under the same postoperative conventional treatment condition, groups are respectively given oral modification of Yunpiyin and warm water, they are observed and compared by the index of abdominal distension anus flatus and defecation time,colostrum appear time and breast milk secretory volume,lochia duration,temperature,tongue picture and liver function, renal function and other indicators of clinical observation. After relevant statistical analysis(SPSS13.0 software), it is to confirm the effectiveness and safety of modification of Yunpiyin in promoting cesarean section postoperative restoration.Results(1) In the 100 cases, the average age of observation group is 29.24±3.78 (years old), that of control group is 30.51±3.12(years old). By the t test (P>0.05), there are no significant differences between the two groups, it is comparable.(2) One day after delivery, symptom self-rating scores of observation group and control group are respectively 13.43±1.58,13.26±1.37. By t test, trere are no significant differences of the symptom Self-rating score between two groups(P>0.05),it is comparable.(3) Between the two groups, the treatment group that takes the medicine takes shorter time in respect of recovery of gastrointestinal function, independent function recovery time, the appearance time of colostrum and the duration of lochia than those of the control group.(4)Among the observation group, there are 13 cases markedly effective,22 cases effective,11 cases experienced improvement,4 cases null and void. The total efficient rate of the clinical efficacy of the treatment is 92%. Among the control group,3 cases markedly effective,12 cases effective,20 cases experienced improvement,15 cases of ineffective, the total effective rate is 70%. The average appearance time of colostrum in the observation group is 24.04±6.46 (h), that in the control group is 31.53±7.61 (h). The average duration of lochia in the observation group is 13.57±5.8(d), the average duration of lochia in the control group is 17.72±6.25 (d). By chi-square test and the t-test respectively (P<0.05), it suggests that the modification of YunPiYin can Promote the recovery of gastrointestinal function after cesarean section, the emergence of colostrum and redintegration of the uterus.(5) One day after the operation, the ALT and AST of the observation group are respectively 27.12±7.8549(IU/L),21.34±6.3023(IU/L);The UA and CR are respectively 5.3680±1.1786(mmol/L),68.5800±15.8344(umol/L). Four days after the operation, the ALT and AST of the observation group are respectively 26.54±7.3461(IU/L),19.71±6.5458(IU/L);The UA and CR are respectively 5.0520±1.1003(mmol/L),69.8100±15.2466(umol/L). By t-test, P>0.05, it prompts the observation group that the liver and kidney function is of no significant difference before and after the surgery, the rest of routine urine,blood test and electrocardiogram didn't have any abnormal symptons before and after meditation, demonstrating that the clinical medication of Yunpiying is secure.Conclusion(1) Clinical observation suggests that modification of Yunpiyin has a better efficiency in promoting cesarean section postoperative restoration of patients. Compared with the control group, it is of great statistical significance.(2) This study preliminarily promotes that the modification of Yunpiyin is effective, economical and safe, it is worth to further expand the sample size, multi-center, large sample of clinical research. It provides a basis for popularizing Chinese medicine in promoting restoration of cesarean section postoperative complications in clinical application. v...
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