Clinical Effects of Integrated Traditional Chinese and Western Medicine in Treating Severe Preeclampsia and Its Influence on Maternal and Infant Outcomes after Cesarean Section under Combined Lumbar and Epidural Anesthesia

Abstract

Objective. This study is aimed to observe the clinical effects of integrated traditional Chinese and Western medicine in treating severe preeclampsia (SPE) and its effects on maternal and infant outcomes after cesarean section under combined lumbar and epidural anesthesia. Method. One hundred and sixty-six pregnant women with SPE were randomly divided into an experimental group and control group, with 83 cases in each group. The control group was given conventional treatments such as magnesium sulfate, and the experimental group received self-made traditional Chinese medicine decoction for oral administration. Results. The total clinical effective rate of treatment in the experimental group was significantly higher than that in the control group. After treatment, the systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and 24 h proteinuria (24 h PRO) levels of the experimental group were significantly lower than those of the control group. After cesarean section (c-section) under combined lumbar and epidural anesthesia, there were statistically significant differences in placental abruption, uterine weakness, fetal intrauterine distress, and neonatal asphyxia in the experimental group, while there were no significant differences in oligohydramnios. After treatment, the contents of inflammatory factors in both groups decreased, and the decrease was more prominent in the experimental group. After treatment, the levels of blood urea nitrogen (BUN), serum creatinine (Scr), and albumin (Alb) and β2 microglobulin (β2-MG) of the two groups of patients decreased, and the levels of them in the experimental group decreased. After treatment, the levels of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) in the two groups increased. However, the levels of malondialdehyde (MDA), lipid peroxide (LPO), and advanced oxidation protein products (AOPP) all reduced, and the increase or decrease in the experimental group was more prominent. Conclusion. The combination of traditional Chinese and Western medicine can reduce the blood pressure of a patient with SPE. After the combined spinal-epidural anesthesia and cesarean section, it can significantly improve the maternal and infant outcomes and renal function, reduce inflammatory factors levels and body oxidative stress, and increase the activities of antioxidant enzymes.

Effects of a Doula instrument combined with auricular acupuncture and acupoint application on numerical rating scale scores, labour time of puerperae with a natural delivery and Apgar scores of the newborns

“…Intercoordination of such two points is most suitable for pain relief. 13 It has been reported in modern medical research that stimulating Hegu and Sanyinjiao acupoints can reinforce adrenal gland activities, increase cortisol secretion and expedite child delivery during childbirth.…”

Complementary and alternatives care for postpartum preeclampsia: A scoping review

“…The results depict that herbal ingredients are effective in treating preeclampsia after childbirth (Gardiner et al 2013;Wang et al 2021). Wang et al 2021, provided a more indepth analysis of the variance between the experimental and control groups' overall clinical successful rates of therapy utilizing herbal medicine, which were 90.36 and 71.08%, respectively (Wang et al 2021).…”

“…The results depict that herbal ingredients are effective in treating preeclampsia after childbirth (Gardiner et al 2013;Wang et al 2021). Wang et al 2021, provided a more indepth analysis of the variance between the experimental and control groups' overall clinical successful rates of therapy utilizing herbal medicine, which were 90.36 and 71.08%, respectively (Wang et al 2021). Iranian researchers Kianpour et al 2016, found that preeclampsia risk factors such maternal stress, anxiety, and postpartum depression can be mitigated by the use of lavender aromatherapy.…”

“…Seven papers were located that addressed the use of nonconventional treatments for preeclampsia, some of which might be used in the postpartum period as well In light of Egypt (Awad et al 2019), China (Wang et al 2021), United States of America (Gardiner et al 2013), Iran (Jahdi et al 2016;Kianpour et al 2016) and Indonesia (Nikmah and Machmudah 2019;Zainiyah et al 2019), in the treatment of preeclampsia following delivery, each of these options varies in certain ways while also sharing some commonalities (see Table 1).…”

“…According to the findings, using a combination strategy like this to treat severe preeclampsia appears to have a beneficial effect on the outcomes for both the mother and the baby (Wang et al 2017). As a result, the utilization of this treatment approach has the potential to lessen the number of unfavorable pregnancy outcomes that occur following a cesarean section that is performed under combined lumbar and epidural anesthesia (Wang et al 2021).…”