益母草注射液联合缩宫素对剖宫产产后出血的预防效果研究.PDFVIP

• 820 • Drug Evaluation Research 第40 卷 第6 期 2017 年6 月 益母草注射液联合缩宫素对剖宫产产后出血的预防效果研究 彭丽钦，李 立 乐山市妇幼保健院妇产科，四川 乐山 614000 摘 要：目的 研究益母草注射液联合缩宫素对剖宫产产后出血的预防效果。方法 选择2015 年1 月—2016 年6 月乐山市 妇幼保健院采取剖宫产分娩的产妇500 例，随机分为两组，对照组仅单纯给予缩宫素，观察组联合给予缩宫素和益母草注射 液。观察两组临床疗效、围手术期指标、术前和术后24 h 血红蛋白、红细胞，记录两组不良反应的发生情况。结果 观察 组的总有效率为90.40% （226/250 ），明显高于对照组的73.20% （183/250），差异有统计学意义（P ＜0.05 ）。与对照组相比， 观察组的术中出血量、术后 2 h 及 24 h 出血量明显减少，差异有统计学意义（P ＜0.05 ）。观察组的产后出血持续时间为 （38.35 ±5.42 ）h ，住院时间为（6.25 ±2.38 ）d，均明显短于对照组，差异有统计学意义（P ＜0.05 ）。观察组术后24 h 血红 蛋白、红细胞下降程度均明显低于对照组，差异有统计学意义（P ＜0.05 ）。结论 益母草注射液联合缩宫素可有效预防剖宫 产产后出血，减少术后出血量并缩短止血时间，安全有效。 关键词：剖宫产；产后出血；益母草注射液；缩宫素 中图分类号：R969.4 文献标志码：A 文章编号：1674 - 6376 (2017) 06 - 0820 - 04 DOI: 10.7501/j.issn.1674-6376.2017.06.018 Yimucao Injection combined with oxytocin in preventing postpartum hemorrhage after cesarean section PENG Li-qin, LI Li Obstetrics and Gynecology Department, Leshan Maternal and Child Health Hospital, Leshan 614000, China Abstract: Objective To investigate the clinical effect of Yimucao Injection combined with oxytocin in preventing postpartum hemorrhage after cesarean section. Methods 500 cases of pregnant women with cesarean section who were treated in Leshan Maternal and Child Health Hospital from January 2011 to June 2016 were divided into two groups randomly. The patients in the control group were only given oxytocin, while the patients in the observation group were given Yimucao Injection combined with oxytocin. To observe the clinical effect of the two groups, the amount of intraoperative hemorrhage volume, postoperative 2h bleeding, postoperative 24 h bleeding volume, the duration time of postpartum hemorrhage and hospitalization time, and the occurrence of adverse reactions in the two groups. Results Th