生化汤加减方神阙穴封包外敷联合缩宫素对产妇产后康复效果的影响OA

Objective To explore the effect of external application of modified Shenghua Decoction package at Shenque acupoint combined with oxytocin on the postpartum rehabilitation effect of parturients,and to analyze the intervention effect of this method in parturients with different delivery modes.Methods A single-center,prospective,randomized controlled trial design was adopted.A total of 600 parturients who de-livered at Second People's Hospital of Jiangjin District between January 2024 and December 2025 were select-ed as study subjects,and were divided into the control group(n=300)and the combined treatment group(n=300)via the random number table method.The control group received conventional intravenous infusion of oxytocin and pelvic floor function training,while the combined treatment group received additional external application of modified Shenghua Decoction package at Shenque acupoint based on the treatment of the control group.Primary observation indicators included the time to complete lochia clearing,the time to uterine involu-tion,the time to initial lactation,the time to first postpartum flatus and the condition of diastasis recti abdomi-nis at 42 days postpartum.Meanwhile,subgroup analysis was performed according to delivery modes(vaginal delivery,cesarean section)to evaluate the difference in efficacy of different intervention strategies among dif-ferent populations.Results Compared with the control group,parturients in the combined treatment group had significantly shorter time to complete lochia expulsion,uterine involution,lactation onset and first post-partum flatus,and all differences were statistically significant(Z=6.84,11.48,5.39,3.44,P<0.05).The as-sessment at 42 days postpartum showed that the inter-rectus abdominis distance in the combined treatment group was smaller than that in the control group(Z=5.82,P<0.05).Subgroup analysis results showed that among parturients with spontaneous delivery,there was no statistically significant difference in the time to first postpartum flatus between the two groups(P>0.05);while among parturients who underwent cesarean section,parturients in the combined treatment group had significantly shorter time to complete lochia expul-sion,uterine involution,lactation onset and first postpartum flatus,and smaller inter-rectus abdominis distance(Z=3.67,7.76,4.87,5.16,4.68,P<0.05).Conclusion Compared with the single application of oxytocin,external application of modified Shenghua Decoction package on Shenque acupoint combined with oxytocin can accelerate lochia discharge and uterine involution,promote lactation initiation and improve the status of diasta-sis recti abdominis.Moreover,for parturients undergoing cesarean section,this regimen has more obvious ad-vantages in promoting postoperative intestinal function recovery,which indicates that it has potential clinical promotion value in the perinatal accelerated rehabilitation surgery management system.