CN105055681A - Traditional Chinese medicinal preparation for preventing and treating puerperal infection after cesarean section - Google Patents

Traditional Chinese medicinal preparation for preventing and treating puerperal infection after cesarean section Download PDF

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CN105055681A
CN105055681A CN201510454010.7A CN201510454010A CN105055681A CN 105055681 A CN105055681 A CN 105055681A CN 201510454010 A CN201510454010 A CN 201510454010A CN 105055681 A CN105055681 A CN 105055681A
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traditional chinese
chinese medicine
herba
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刘霄
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Abstract

The invention discloses a traditional Chinese medicinal preparation for preventing and treating puerperal infection after cesarean section. According to the theory of traditional Chinese medicine, puerperal infection is caused due to damage to vital energy after delivery, weakened resistance, interspaces of skin and muscles being loose, disorder between ying and wei, invasion of heat toxin and pathogenic factor, blood-heat stasis and depression in uterus. Therefore, the traditional Chinese medicinal preparation is prepared into a decoction from the following traditional Chinese medicines which are effective in clearing away heat and toxic materials, reducing swelling and resolving mass, promoting blood circulation and removing stasis: radermachera sinica, corymb woodsorrel herb or root, nickernut caesalpinia leaf, franchet groundcherry, virginia grape fern herb with root, lyrate hemistepta herb, pubescent hooly leaf, amur ampelopsis root and russian boschnai aki herb; and clinical tests show that the total effective rate of the traditional Chinese medicinal preparation reaches 96.0%, and curative effect is relatively good.

Description

A kind of Chinese medicine preparation preventing and treating cesarean postoperate puerperal infection
Technical field
The present invention relates to a kind of Chinese medicine composition, particularly relate to a kind of Chinese medicine preparation preventing and treating cesarean postoperate puerperal infection.
Background technology
When puerperal infection refers to childbirth or puerperal women reproductive tract be subject to pathogenic infection, cause the inflammatory of puerpera's reproductive tract local or whole body to change.Modern society and family pay much attention to work of maternal and infant health care, for ensureing Material and infant safe, improve neonatal survival rate, and increasing people selects to intervene childbirth.Along with the rising of Cesarean esction probability, post-operative complication morbidity quantity is also in rising.Puerperal infection is the severe complication of cesarean postoperate, and sickness rate reaches 6.1%, is the major reason causing maternal death.In current western medicine, main application ampicillin adds normal saline gradation intravenous drip, another oral metronidazole, apply oxytocin simultaneously and promote uterine contraction, strengthen supporting treatment, have anemia person to entangle only anemia, have Placenta remnants person's row clearing heat in the pericardium or forcep curettage, after 3d, unsatisfactory curative effect person uses cephalosporins instead or makes secretions antibacterial culturing and susceptibility selects antibiotic therapy.Although above Therapeutic Method can obtain certain curative effect, unnecessary misery can be brought to patient, and side effect is many.Make a general survey of in the past few years Chinese medicine, to the treatment of cesarean postoperate puerperal infection, no matter eliminating in symptom, or all achieve certain curative effect in healing indices.Applicant, in clinical practice for many years, for the cause of disease causing puerperal infection, sums up correlative factor wherein, and it is little, evident in efficacy to develop a kind of side effect, cheap Chinese medicine preparation.
Summary of the invention
The object of this invention is to provide a kind of Chinese medicine preparation preventing and treating cesarean postoperate puerperal infection.Theory of Chinese medical science is thought, puerperal infection because of vigour in puerperal impaired, resistance weakens, interspaces of skin and muscles being loose, battalion defend imbalance, pyretic toxicity pathogenic factor is taken advantage of a weak point, heat mixing with blood, strongly fragrant in uterus, then see cold heating, how many lochia amounts differs, and color is purple dark or smelly dirty as pus, lower abdomen pain with tenderness, oliguria with reddish urine.Controlling should heat-clearing and toxic substances removing, dispersing swelling and dissipating binds, blood circulation promoting and blood stasis dispelling.
The object of the invention is to be achieved through the following technical solutions, the Chinese medicine preparation of this cesarean postoperate puerperal infection is made up of the Chinese medicine of following weight portion: Radix radermacherae sinicae 1-5 part, Herba oxalidis corymbosae 2-6 part, Folium Caesalpiniae Cristae 1-4 part, Physalis alkekengi L. var. francheti (Mast.) Makino 2-5 part, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 1-4 part, Herba Hemisteptae Lyratae 2-5 part, Folium Ilicis Pubescentis 1-4 part, Radix ampelopsis brevipedunculatae 1-4 part, Herba Boschniakiae Rossicae 2-5 part.
Preferred: Radix radermacherae sinicae 3 parts, Herba oxalidis corymbosae 3 parts, Folium Caesalpiniae Cristae 2 parts, Physalis alkekengi L. var. francheti (Mast.) Makino 3 parts, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 3 parts, Herba Hemisteptae Lyratae 3 parts, Folium Ilicis Pubescentis 2 parts, Radix ampelopsis brevipedunculatae 2 parts, Herba Boschniakiae Rossicae 3 parts.
Preparation method: traditionally make decoction.
Fang Zhong: Radix radermacherae sinicae, Herba oxalidis corymbosae: heat-clearing and toxic substances removing, scattered silt pain relieving; Folium Caesalpiniae Cristae: heat-clearing and toxic substances removing, silt pain relieving of dispelling; Physalis alkekengi L. var. francheti (Mast.) Makino, Herba Hemisteptae Lyratae: heat-clearing and toxic substances removing, dispersing swelling and dissipating binds; Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw.: heat-clearing and toxic substances removing, suppressing the hyperactive liver eliminating stagnation; Folium Ilicis Pubescentis: heat-clearing and toxic substances removing, pain relieving, antiinflammatory; Radix ampelopsis brevipedunculatae: the dissipating blood stasis that dispels the wind, invigorate blood circulation, pain relieving, hemostasis, heat-clearing and toxic substances removing; Herba Boschniakiae Rossicae: kidney invigorating and YANG supporting, intestine moistening hemostasis.
Clinical data
1, physical data: collect the outpatient service and inpatient (not comprising infection of incisional wound) 100 example that are diagnosed as puerperal infection in August ,-2012 in June, 2011,22 ~ 31 years old age, average pregnant week (38 ± 3.2) week, be divided into two groups at random, Chinese drug-treated group 50 example, Western medicine group 50 example, the clinical symptoms of two groups of patients and sign zero difference, have comparability.
2, Therapeutic Method: Chinese drug-treated group applies Chinese medicine preparation of the present invention, namely Radix radermacherae sinicae 30 grams, Herba oxalidis corymbosae 30 grams, Folium Caesalpiniae Cristae 20 grams, Physalis alkekengi L. var. francheti (Mast.) Makino 30 grams, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 30 grams, Herba Hemisteptae Lyratae 30 grams, Folium Ilicis Pubescentis 20 grams, Radix ampelopsis brevipedunculatae 20 grams, Herba Boschniakiae Rossicae 30 grams is taken, be decocted in water for oral dose, every day 1 dose, a point morning and evening takes for 2 times.Western medicine group application ampicillin 6.0g adds normal saline gradation intravenous drip, metronidazole 0.5g, every day 1 time, applies oxytocin simultaneously and promotes uterine contraction, strengthen supporting treatment.
3, curative effect determinate standard: temperature recovery is normal, puerperal infection clinical sign disappears, and hemogram checking indices recovers normal, alochia abnormal phenomena, and pathogenic bacterium are cultivated and are negative, and can be considered healing.
4, therapeutic outcome: Chinese drug-treated group treatment 1 ~ 3d body temperature is down to normal person 50 example, accounts for 100%; Western medicine group is down to normal 25 examples, accounts for 50%, compares, have significant difference for two groups.
After subjective symptoms and sign treat 1 ~ 3d, Chinese drug-treated group recovers normal 48 examples, accounts for 96%; Western medicine group recovers normal 22 examples, accounts for 44%, compares, have significant difference for two groups.
Chinese drug-treated group cures 48 examples, accounts for 96%; Western medicine group cures 22 examples, accounts for 44%, compares, have significant difference for two groups.
5, model case: Wang, 29 years old, puerperal 7d, high hot 4d is admitted to hospital.Pregnant 3 produce 2, mature 38 weeks, and in Civilian Hospital childbirth, placental adherence during product, body temperature 39.5 ~ 40 DEG C, appearred fear of cold, high heat the 4th day puerperal, in free-hand stripping.Give " infection fluid infusion " at local hospital and treat 2d, less effective, companion's hypogastralgia, haves a medical check-up when being admitted to hospital: one situation is poor, body temperature 39.7 DEG C, blood pressure 8.8/6kPa, breathes slightly rapid, anemia looks, heart rate 123 times/min, flat umbilicus at the bottom of palace, touches a tender spot obviously, lochia purulence, stench.Shock, infection control, blood transfusion, correction Electrolyte imbalance and acid-base balance treatment is given after being admitted to hospital, body temperature fluctuation is at 38.6 ~ 39.8 DEG C, 3rd day row forcep curettage, take out in utero residual afterbirth, postoperatively add Effect of Chinese Medicine Qing thermal detoxification of the present invention, blood circulation promoting and blood stasis dispelling, namely body temperature after 2 doses of taking medicine be down to normally, and 8d recovery from illness of being in hospital is left hospital.
Detailed description of the invention
Embodiment one: take Radix radermacherae sinicae 10 grams, Herba oxalidis corymbosae 20 grams, Folium Caesalpiniae Cristae 10 grams, Physalis alkekengi L. var. francheti (Mast.) Makino 20 grams, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 10 grams, Herba Hemisteptae Lyratae 20 grams, Folium Ilicis Pubescentis 10 grams, Radix ampelopsis brevipedunculatae 10 grams, Herba Boschniakiae Rossicae 20 grams, be decocted in water for oral dose, every day 1 dose, a point morning and evening takes for 2 times.
Embodiment two: take Radix radermacherae sinicae 30 grams, Herba oxalidis corymbosae 30 grams, Folium Caesalpiniae Cristae 20 grams, Physalis alkekengi L. var. francheti (Mast.) Makino 30 grams, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 30 grams, Herba Hemisteptae Lyratae 30 grams, Folium Ilicis Pubescentis 20 grams, Radix ampelopsis brevipedunculatae 20 grams, Herba Boschniakiae Rossicae 30 grams, be decocted in water for oral dose, every day 1 dose, a point morning and evening takes for 2 times.
Embodiment three: take Radix radermacherae sinicae 50 grams, Herba oxalidis corymbosae 60 grams, Folium Caesalpiniae Cristae 40 grams, Physalis alkekengi L. var. francheti (Mast.) Makino 50 grams, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 40 grams, Herba Hemisteptae Lyratae 50 grams, Folium Ilicis Pubescentis 40 grams, Radix ampelopsis brevipedunculatae 40 grams, Herba Boschniakiae Rossicae 50 grams, every day 1 dose, a point morning and evening takes for 2 times.

Claims (2)

1. prevent and treat a Chinese medicine preparation for cesarean postoperate puerperal infection, it is characterized in that this Chinese medicine preparation is made up of the Chinese medicine of following weight portion: Radix radermacherae sinicae 1-5 part, Herba oxalidis corymbosae 2-6 part, Folium Caesalpiniae Cristae 1-4 part, Physalis alkekengi L. var. francheti (Mast.) Makino 2-5 part, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 1-4 part, Herba Hemisteptae Lyratae 2-5 part, Folium Ilicis Pubescentis 1-4 part, Radix ampelopsis brevipedunculatae 1-4 part, Herba Boschniakiae Rossicae 2-5 part.
2. a kind of Chinese medicine preparation preventing and treating cesarean postoperate puerperal infection as claimed in claim 1, is characterized in that this Chinese medicine preparation is made up of the Chinese medicine of following weight portion: Radix radermacherae sinicae 3 parts, Herba oxalidis corymbosae 3 parts, thorn adopt Lignum Sappan 2 parts, Physalis alkekengi L. var. francheti (Mast.) Makino 3 parts, Botrypus virginianus(L.)Holub[Osmunda virginiana L,Botrychium virginianum(L.) Sw. 3 parts, Herba Hemisteptae Lyratae 3 parts, Folium Ilicis Pubescentis 2 parts, Radix ampelopsis brevipedunculatae 2 parts, Herba Boschniakiae Rossicae 3 parts.
CN201510454010.7A 2015-07-21 2015-07-21 Traditional Chinese medicinal preparation for preventing and treating puerperal infection after cesarean section Pending CN105055681A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102228552A (en) * 2011-05-26 2011-11-02 刘永俊 Chinese medicinal composition for treating childbed infection and preparation method thereof
CN202605098U (en) * 2012-04-27 2012-12-19 何定甫 Uterus warming ovary care treasure
CN103127409A (en) * 2013-01-23 2013-06-05 曹长兰 Drug for treating puerperium haemorrhage
CN103550349A (en) * 2013-11-10 2014-02-05 袁淑君 Oral liquid for treating postpartum anemia and preparation method
CN104721749A (en) * 2015-04-01 2015-06-24 青岛大学附属医院 Traditional Chinese medicine cleaning solution for treating puerperal infection and preparation method of traditional Chinese medicine cleaning solution

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102228552A (en) * 2011-05-26 2011-11-02 刘永俊 Chinese medicinal composition for treating childbed infection and preparation method thereof
CN202605098U (en) * 2012-04-27 2012-12-19 何定甫 Uterus warming ovary care treasure
CN103127409A (en) * 2013-01-23 2013-06-05 曹长兰 Drug for treating puerperium haemorrhage
CN103550349A (en) * 2013-11-10 2014-02-05 袁淑君 Oral liquid for treating postpartum anemia and preparation method
CN104721749A (en) * 2015-04-01 2015-06-24 青岛大学附属医院 Traditional Chinese medicine cleaning solution for treating puerperal infection and preparation method of traditional Chinese medicine cleaning solution

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