益母草联用氧疗及缩宫素对产妇产后出血和生活质量的影响研究  

Oxygen Inhalation reduce postpartum hemorrhage and improve life quality of patients receivingvaginal delivery

作　　者：王晶[1] 刘春华[1] 陈丽[1] 张娟[2] Wang Jing;Liu Chunhua;Chang Li(Department of Obstetrics,Baoji Maternal and Child Care Service Centre(Baoji 721000))

机构地区：[1]陕西省宝鸡市妇幼保健院产科,宝鸡721000 [2]延安大学附属医院产科,延安716000

出　　处：《陕西中医》2018年第5期599-601,共3页Shaanxi Journal of Traditional Chinese Medicine

基　　金：陕西省宝鸡市科学技术研究发展计划项目(13SF4-2)

摘　　要：目的:研究氧疗联用益母草和缩宫素对顺产后出血的作用及其对产妇生活质量的影响。方法:选择顺产的孕妇192例,随机分为益母草配合氧疗加缩宫素组(观察组)98例和益母草加缩宫素组(对照组)94例。观察产后1h、产后2h内出血总量,记录子宫底部下降速度和术后住院时间,随访恶露持续时间及评估产后1月产妇的生活质量。结果:观察组产后1h、产后2h出血总量显著低于对照组(96.2±49.5vs 154.7±78.3ml,159.3±58.9vs 263.6±68.2ml,P<0.05);观察组产妇子宫底部下降速度快于对照组(1.5±0.4vs 0.5±0.3cm/d,P<0.05),恶露持续时间和住院时间均少于对照组(13.2±5.3vs 22.8±14.3d,3.7±1.2vs 5.3±2.1d,P<0.05);生理职能、生理功能、躯体疼痛、总体健康评分、活力评分、社会功能评分、情感职能和精神健康等八个维度评分均较对照组高。结论:氧疗与益母草和缩宫素联用可减少顺产产妇产后出血、促进子宫复旧,缩短住院时间,从而改善产妇出院后生活质量。Objective:The aim of the present study was to investigate the effect of oxygen inhalation and leonurusheterophyllus injectionto life-quality in patients receiving vaginal delivery.Methods:Total 192 patients receiving vaginal delivery were enrolled into the study who were randomly divided into experimental group(leonurus heterophyllus injection+oxygen inhalation+oxytocin)and control group(leonurus heterophyllus injection+oxytocin).Blood loss at 1 h,2 h after delivery,descent velocity of uterus bottom,duration of lochia and hospital staywere gathered and the scores of SF-36 at 1 month after delivery were recorded.Results:Blood loss at 1 h,2 h afterdelivery in experimental group were reduced than control group(96.2±49.5 vs 154.7±78.3 ml,159.3±58.9 vs 263.6±68.2 ml,P<0.05).Descent velocity of uterus bottom in experimental group was faster than control group(1.5±0.4 vs 0.5±0.3 cm/d,P<0.05).Duration of lochia and hospital stay in experimental group was shorter than control group(13.2±5.3 vs 22.8±14.3 d,3.7±1.2 vs 5.3±2.1 d,P<0.05).Scores of SF-36 after one month were induced by the treatment of oxygen inhalation.Conclusions:Oxygen inhalation with leonurus heterophyllus injectionand oxytocin reduced postpartum hemorrhage and improved life-quality in patients receiving vaginal delivery.

关 键 词：产后出血/中西医结合疗法 @氧疗 益母草/治疗应用 

分 类 号：R714.461[医药卫生—妇产科学]