CN104474211A - 一种治疗产后尿潴留的中药外洗剂 - Google Patents

一种治疗产后尿潴留的中药外洗剂 Download PDF

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CN104474211A
CN104474211A CN201410779406.4A CN201410779406A CN104474211A CN 104474211 A CN104474211 A CN 104474211A CN 201410779406 A CN201410779406 A CN 201410779406A CN 104474211 A CN104474211 A CN 104474211A
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祝彩云
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Abstract

本发明公开了一种治疗产后尿潴留的中药外洗剂。中医理论认为：患者产后气血虚弱，中气下陷郁于下焦，故而不能通调水道，膀胱气化不利，小便不通，用药当以补气养血，活血化瘀，行气利尿为原则。为此，本发明选择中药还阳草根、阳雀花、小血藤、红泽兰、长管假茉莉、金毛木通、瓦韦、树萝卜、狗泡草、星宿菜、鱼眼草根、绵枣儿，水煎成外洗剂，经临床试验，总有效率达到90.7％，明显优于对照组的72.1％，而且无副作用。

Description

一种治疗产后尿潴留的中药外洗剂
技术领域
本发明涉及一种中药组合物，尤其涉及一种治疗产后尿潴留的中药外洗剂。
背景技术
产妇于产后6～8h不排尿，经检查膀胱充盈，有尿意而不能自主排尿者，可诊断为产后尿潴留。产后尿潴留发生率占分娩总数的3.19％，是常见的产后并发症之一，可影响子宫收缩而引起产后大出血威胁生命；同时，也是造成产后泌尿系感染的重要因素，甚至引起肾积水等，如得不到及时治疗，除给产妇带来身体的病痛外，还往往给产妇造成一定的精神和心理压力，严重影响了产后身体的康复。
产后尿潴留的治疗应首先促进其排尿功能的完全恢复。西医以保留导尿管及抗生素预防感染为主要治疗方法，但反复防治尿道管容易引起膀胱的炎症，加重尿潴留的产生，注射抗生素会给产妇尤其是母乳喂养的产妇带来副作用，间接影响新生儿的健康。中药外洗剂充分保留了中草药的有效成分，局部外洗能够促进会阴部血液循环，达到消炎、解痉的治疗效果，缓解患者疼痛，对小便的顺利排出具有积极的促进作用。同时中药外用有效避免了药物的副作用，尤其是避免了寒凉性的中草药对产妇的不良影响。申请人经临床试验证明，中药外洗治疗产后尿潴留有利于产妇产后的康复，安全可靠，是值得推广使用的一种治疗产后尿潴留的方法。
发明内容
本发明的目的是提供一种治疗产后尿潴留的中药外洗剂。中医理论认为：患者产后气血虚弱，中气下陷郁于下焦，故而不能通调水道，膀胱气化不利，小便不通，用药当以补气养血，活血化瘀，行气利尿为原则。
本发明的目的是通过以下技术方案实现的，该治疗产后尿潴留的中药外洗剂由以下重量份的中药制成：还阳草根10-20份、阳雀花3-8份、小血藤8-12份、红泽兰9-15份、长管假茉莉8-12份、金毛木通6-8份、瓦韦9-15份、树萝卜30-40份、狗泡草15-25份、星宿菜9-12份、鱼眼草根20-30份、绵枣儿3-6份。
优选的，还阳草根15份、阳雀花5份、小血藤10份、红泽兰12份、长管假茉莉10份、金毛木通7份、瓦韦12份、树萝卜35份、狗泡草20份、星宿菜11份、鱼眼草根25份、绵枣儿4份。
制备方法 加水2000ml，煮开后小火煎至约1500ml。
方中：还阳草根补益气血、健脾利湿；阳雀花补气益肾；小血藤活血散瘀、行气止痛；红泽兰消瘀、疏肝散瘀、行水；长管假茉莉利水、消肿活血；金毛木通利水消肿；痛经活血；瓦韦利尿止血；树萝卜利水、活血散瘀、消炎；狗泡草利水、解毒、消炎；星宿菜散瘀活血、利水化湿；鱼眼草根利水通淋；绵枣儿消肿止痛、解毒活血。
临床资料
1、一般资料 病例选择2009年1月～2011年1月期间，在我院住院正常分娩发生产后尿潴留的患者86例，随机分为治疗组(43例)和对照组(43例)。两组患者均为初产妇，在年龄，健康状况方面均无显著差异(P＞0.05)，无合并症和其他并发症。
2、诊断标准 产后6h膀胱有尿而不能自行排出，以产后小便潴留膀胱，难以排出或点滴而下，小腹胀急、疼痛为主要临床症状。
3、治疗方法 (1)治疗组：产后尿潴留患者服用本发明所述中药外洗剂，称取还阳草根15g、阳雀花5g、小血藤10g、红泽兰12g、长管假茉莉10g、金毛木通7g、瓦韦12g、树萝卜35g、狗泡草20g、星宿菜11g、鱼眼草根25g、绵枣儿4g，加水2000ml，煮开后小火煎至约1500ml，使用时将药液晾至合适温度，采取蹲位清洗外阴。(2)对照组：产后尿潴留患者单纯用新斯的明mg肌肉注射1次，不加用其他任何治疗。
4、疗效标准 用药后记录尿液排出的时间。痊愈：用药1h内自行排尿。有效：用药1～3h内自行排尿。无效：用药超过3h后仍不能自行排尿，需导尿。
5、治疗结果 治疗组治疗43例，痊愈26例，痊愈率60.5％，有效13例，有效率30.2％，无效4例，无效率9.3％；对照组治疗43例，痊愈15例，痊愈率34.9％，有效16例，有效率37.2％，无效12例，无效率27.9％。治疗组痊愈率及总有效率与对照组比较，均有显著性差异(P＜0.01)。治疗过程中对照组有8例患者出现药疹，停药后均在2天内减轻至消失，另有6例患者出现轻度的恶心、呕吐等不良反应。治疗组患者在治疗过程中未见明显不良反应。
具体实施方式
实施例一：称取还阳草根15g、阳雀花5g、小血藤10g、红泽兰12g、长管假茉莉10g、金毛木通7g、瓦韦12g、树萝卜35g、狗泡草20g、星宿菜11g、鱼眼草根25g、绵枣儿4g，加水2000ml，煮开后小火煎至约1500ml。
实施例二：称取还阳草根20份、阳雀花3份、小血藤12份、红泽兰9份、长管假茉莉12份、金毛木通6份、瓦韦15份、树萝卜30份、狗泡草25份、星宿菜9份、鱼眼草根30份、绵枣儿3份，加水2000ml，煮开后小火煎至约1500ml。
实施例三：称取还阳草根10份、阳雀花8份、小血藤8份、红泽兰15份、长管假茉莉8份、金毛木通8份、瓦韦9份、树萝卜40份、狗泡草15份、星宿菜12份、鱼眼草根20份、绵枣儿6份，加水2000ml，煮开后小火煎至约1500ml。

Claims (2)

1.一种治疗产后尿潴留的中药外洗剂，其特征在于该中药外洗剂由以下重量份的中药制成：还阳草根10-20份、阳雀花3-8份、小血藤8-12份、红泽兰9-15份、长管假茉莉8-12份、金毛木通6-8份、瓦韦9-15份、树萝卜30-40份、狗泡草15-25份、星宿菜9-12份、鱼眼草根20-30份、绵枣儿3-6份。
2.如权利要求1所述的一种治疗产后尿潴留的中药外洗剂，其特征在于该中药外洗剂由以下重量份的中药制成：还阳草根15份、阳雀花5份、小血藤10份、红泽兰12份、长管假茉莉10份、金毛木通7份、瓦韦12份、树萝卜35份、狗泡草20份、星宿菜11份、鱼眼草根25份、绵枣儿4份。
CN201410779406.4A 2014-12-03 2014-12-03 一种治疗产后尿潴留的中药外洗剂 Pending CN104474211A (zh)

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Citations (1)

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Publication number Priority date Publication date Assignee Title
CN103830697A (zh) * 2014-02-28 2014-06-04 崔新明 一种治疗产后尿潴留的药物组合物

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Publication number Priority date Publication date Assignee Title
CN103830697A (zh) * 2014-02-28 2014-06-04 崔新明 一种治疗产后尿潴留的药物组合物

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