不同缩宫药物联合的应用预防前置胎盘产后出血临床疗效观察.docVIP

不同缩宫药物联合的应用预防前置胎盘产后出血临床疗效观察 　　【摘要】 目的：分析不同缩宫药物联合应用预防前置胎盘产后出血的临床疗效。方法：收集2007年2月-2012年2月本院收治的前置胎盘终止妊娠者930例，按照缩宫药物的不同将其随机分为A、B、C三组各310例，其中A组采取缩宫素联合益母草联合治疗，B组采取缩宫素联合欣母沛联合治疗，C组采取缩宫素、欣母沛、益母草三种药物联合治疗。对比三组在手术之后的出血量。结果：A组手术过程中出血量要明显少于其他两组，在中央性前置胎盘的手术类型中，A组在手术过程中的出血量明显少于C组，差异均具有统计学意义（P0.05）。其余各组之间的出血量比较差异无统计学意义。结论：不同缩宫药物联合应用预防前置胎盘产后出血具有一定的效果。缩宫素、欣母沛、益母草的联合使用过程中，缩宫素联合益母草治疗对前置胎盘产后出血效果较好，可在临床广泛推广。 　　【关键词】 前置胎盘； 缩宫素； 益母草； 产后出血 　　Clinical Efficacy of Different Uterine Contraction Drug Combination in Preventing Postpartum Hemorrhage Due to Placenta Previa/WAN Hai-yan，ZENG Xiao-yan，HUANG Da-min.//Medical Innovation of China，2013，10（14）：042-044 　　【Abstract】 Objective：To analyze clinical efficacy of different uterine contraction drug combination in preventing postpartum hemorrhage due to placenta previa.Method：From 2007 February to 2012 February in our hospital of placenta previa termination of pregnancy in 930 columns， in accordance with the oxytocin drugs of different were randomly divided into A， B， C three group of each 310 column， 310 column in which A group patients take oxytocin combined with Herba Leonuri combined therapy， group B take shrinkage palace combined with hemabate combination therapy， group C taken in oxytocin， hemabate，motherwort three drugs combined therapy.By comparing the bleeding after operation analyzing the effect of therapy.Result：The amount of bleeding in the A group patients in the operation process was significantly less than the other two groups.As to the central placenta previa operation type， the bleeding in A group was obviously less than that of group C（P0.05）， which had obvious statistical significance difference. The bleeding between the B groups and C groups were no statistically significant difference. Conclusion：The treatment of combining different oxytocin drugs on preventing postpartum hemorrhage has certain effect.The therapy of combining oxytocin with Herba Leonuri had better effect， which can be widely popularized in clinical treatment