Department of Obstetrics and Gynecology, China Medical University Hospital, Taichung 40447, Taiwan.
Evid Based Complement Alternat Med. 2011;2011:918291. doi: 10.1155/2011/918291. Epub 2011 Apr 12.
Background. Traditional Chinese postpartum care is believed to help in the recovery of women after delivery. Objective. This study investigated the association of elements in dietary and herbal therapy with uterine involution. Methods. Indices of uterine involution were measured ultrasonographically in 127 postpartum women between 4-6 weeks after delivery. A self-reported retrospective questionnaire was used to query women about their frequencies of taking herbal medicines and consuming special diets during the first month after delivery. Correlation coefficients were calculated to identify the associations, then the regression models were used to identify the predictors. Result. Among the herbal medicines and diet, consumption of Eucommia ulmoides (E. ulmoides) negatively correlated with the AP diameter of the uterus and the cavity. E. ulmoides was also the only predictor of maximum AP diameter of the uterus, AP diameter of the uterus 5 cm from the fundus, and the maximum AP diameter of the cavity. Moreover, consumption of Sheng-hau-tang was significantly correlated with anteverted uterus and was a predictor of anteverted uterus. Conclusion. E. ulmoides and Sheng-hau-tang positively correlated with the degree of uterine involution after delivery, implying that both therapies might possess the pharmacological efficacy of uterine contraction in postpartum women.
传统的中医产后护理被认为有助于产妇产后的恢复。
本研究旨在探讨产后饮食和草药疗法的元素与子宫复旧的关系。
在产后 4-6 周,对 127 名产妇进行超声测量子宫复旧指数。通过回顾性自我报告调查问卷,询问女性在产后第一个月服用草药和特殊饮食的频率。计算相关系数以确定关联,然后使用回归模型确定预测因素。
在草药和饮食中,杜仲(Eucommia ulmoides,E. ulmoides)的消耗与子宫前后径和宫腔前后径呈负相关。E. ulmoides 也是子宫最大前后径、距宫底 5cm 处子宫前后径和宫腔最大前后径的唯一预测因素。此外,生化汤的消耗与子宫前倾显著相关,是子宫前倾的预测因素。
杜仲和生化汤与产后子宫复旧程度呈正相关,提示这两种疗法可能具有产后妇女子宫收缩的药理作用。