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目的 观察固元复旧汤对于减少由宫缩乏力导致的产后出血量和出血时间的作用.方法 随机选择2018年4月至2020年6月于我院有宫缩乏力性产后出血倾向的产妇146例进行临床研究,使用随机数字法将患者分为观察组和对照组各73例,对照组产妇于胎儿娩出后给予卡贝缩宫素100μg入壶,静脉滴注至产后2h.治疗组在对照组基础上口服固元复旧汤.比较两组患者产后出血率、宫腔填塞、子宫缝合、使用其他缩宫剂等其他止血措施的应用情况.比较产后2h内出血量、24h内出血量.结果 观察组患者2h内出血量、24h内出血量均低于对照组,“,”Objective: To observe the effect of Guyuan Fujiu Decoction on reducing the amount and time of postpartum hemorrhage caused by uterine asthenia. Methods: 146 pregnant women with uterine asthenia and postpartum hemorrhage tendency in our hospital from April 2018 to June 2020 were randomly selected for clinical study. The patients were randomly divided into observation group and control group, with 73 cases in each group. The pregnant women in the control group were given 100 μ g of cabetoxin into the pot after fetal delivery, and intravenous drip to 2H postpartum. The treatment group took Guyuan Fujiu Decoction on the basis of the control group. The postpartum hemorrhage rate, uterine packing, uterine suture, use of other uterine contractions and other hemostatic measures were compared between the two groups. The amount of postpartum hemorrhage within 2 hours and 24 hours were compared. Results: the amount of bleeding within 2 hours and 24 hours in the observation group were lower than those in the control group (P < 0.05); The incidence of postpartum hemorrhage in the observation group was 32.88%, significantly lower than 56.16% in the control group, and the application rate of other hemostasis in the observation group was 15.07%, significantly lower than 36.99% in the control group (P < 0.05). Conclusion: Guyuan Fujiu decoction can significantly reduce the bleeding rate and amount of postpartum hemorrhage caused by uterine asthenia, and has important clinical value.