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目的:研究益母草注射液联合缩宫素用于剖宫产出血防治的临床效果。方法:从病例库选取了2014年9月至2015年9月黔南州人民医院产科收治的200例产妇资料;随机分为观察组、对照组,每组各100例(排除妊娠合并症之手术产病例),对照组单一使用缩宫素,观察组使用益母草注射液+缩宫素;持续观察手术过程中的出血量,从手术中、术后2 h、术后24 h3个阶段进行观察,对比2组产妇的出血量情况。结果:本次对照组18例产后出血,观察组仅5例出血。手术中,对照组出血量(22.3±10.2)mL,观察组出血量(23.2±9.9)mL,组间比较,差异无统计学意义(P>0.05);术后2 h,对照组出血量(70.2±28.6)mL,观察组出血量(35.2±14.4)mL,组间比较,差异有统计学意义(P<0.05);术后24 h,对照组出血量(379.6±182.5)mL,观察组出血量(273.3±116.2)mL,组间比较差异有统计学意义(P<0.05)。结论:单一疗法用于剖宫产术后出血处理效果不理想,益母草注射液+缩宫素联合治疗效果更加优越,可全面预防剖宫产术后出血。
Objective: To study the clinical effect of motherwort injection combined with oxytocin in the prevention and treatment of cesarean section bleeding. Methods: Two hundred maternal women received obstetrics and gynecology in Qiannan Prefecture People’s Hospital from September 2014 to September 2015 were randomly divided into observation group (n = 100) and control group (n = 100) The patients in the control group were treated with oxytocin alone and the oxytocin injection and oxytocin were used in the observation group. The amount of bleeding during the operation was observed continuously from 2 hours after operation, 24 hours after operation, Comparison of 2 groups of maternal bleeding situation. Results: The control group of 18 cases of postpartum hemorrhage, observation group, only 5 cases of bleeding. In operation, the amount of bleeding in the control group (22.3 ± 10.2) mL and the observation group (23.2 ± 9.9) mL, there was no significant difference between the two groups (P> 0.05) 70.2 ± 28.6) mL in the observation group and 35.2 ± 14.4 mL in the observation group (P <0.05). The blood loss of the control group (379.6 ± 182.5) mL at 24 h after operation was significantly higher in the observation group Bleeding volume (273.3 ± 116.2) mL, the difference between the two groups was statistically significant (P <0.05). CONCLUSION: Monotherapy is not effective in treating post-cesarean section bleeding. The combination of motherwort injection and oxytocin is more effective and can completely prevent bleeding after cesarean section.