不同方法预防剖宫产出血的临床价值(1)
 |
| 第1页 |
参见附件(1352KB，2页)。
[摘要] 目的:探讨不同方法预防剖宫产出血的临床价值。方法:将240例剖宫产病例随机分为益母草+缩宫素组80例;益母草组80例;缩宫素组80例。观察三组产后出血量、子宫复旧情况及开奶时间。结果:益母草+缩宫素组术中出血量明显低于益母草组和缩宫素组(t1=2.375,t2=2.257,P<0.05);益母草+缩宫素组、益母草组术后2 h的出血量均明显低于缩宫素组(t3=2.215,t4=2317,P<0.05);益母草组的疗效优于缩宫素组(t1=2.245,t2=2.333,t3=2.295,t4=2.351,均P<0.05),三组开奶时间比较益母草组术后第2、3、5天开奶时间明显低于缩宫素组(χ12=3.74,χ22=3.88,χ32=3.94,χ42=3.98,χ52=3.41,χ62=3.45)。结论:益母草与缩宫素联合应用对预防剖宫产术后出血具有一定的价值。
[关键词] 剖宫产术;产后出血;益母草;价值
[中图分类号] R719.8[文献标识码]A[文章编号]1673-7210(2009)08(a)-042-02
The clinical value of prevention of bleeding after cesarean section by different methods
LIAO Zaicheng
(Woman and Children Health Care Hospital of Huiyang City, Huizhou 516001, China)
[Abstract] Objective: To investigate the clinical value of prevention of hemorrhage after cesarean section by different methods. Methods:240 cases of cesarean section patients were randomly divided into leonurus+oxytocin group(n=80);motherwort group(n=80);oxytocin group(n=80). Then observed the postpartum bleeding, uterine involution and milk time to open of three groups. Results: The amount of bleeding of leonurus+oxytocin group was significantly less than that of motherwort and oxytocin group (t1=2.375,t2=2.257,P<0.05); both the amount of bleeding after 2 h of leonurus+oxytocin group and motherwort group were significantly lower than that of oxytocin group (t3=2.215,t4=2317,P<0.05). The curative effect of motherwort group was superior than that of oxytocin group(t1=2.245,t2=2.333,t3=2.295,t4=2.351, all P<0.05).The time of open milk of motherwort group after 2,3,5 days were significantly lower than that of oxytocin group(χ12=3.74,χ22=3.88,χ32=3.94,χ42=3.98,χ52=3.41,χ62=3.45, all P<0.05). Conclusion: The joint application of motherwort with oxytocin can prevent postpartum bleeding, and have a certain value.
[Key words] Cesarean section; Postpartum hemorrhage; Motherwort; Effects; Value
产后出血仍是导致我国孕产妇死亡的最主要原因。引起产后出血的主要原因有子宫收缩乏力、胎盘因素、软产道损伤和凝血功能障碍,其中子宫收缩乏力是导致出血最常见的原因。现代药理研究证明[1],益母草可溶栓、抗凝、降脂,降血黏度,降低红细胞聚集,抑制血小板聚集,改善微循环,抗氧自由基,减少细胞内钙超载等作用。近年来,益母草注射液用于临床预防产后出血的研究备受重视,我院2008年1～12月对益母草注射液预防剖宫产术中、术后出血进行了临床研究,现将结果报道如下: ......
您现在查看是摘要介绍页，详见PDF附件(1352KB，2页)。