益母草用于顺产后胎盘胎膜残留的临床研究  

Study on Motherwort for Placenta and Fetal Membranes Remaining After Spontaneous Delivery

作　　者：鲍玲梅 叶桂花 BAO Lingmei;YE Guihua(Department of Gynaecology and Obstetrics,The First People’s Hospital of Yidu,Yidu Hubei 443300,China)

机构地区：[1]湖北省宜都市第一人民医院妇产科,湖北宜都443300

出　　处：《中国继续医学教育》2021年第8期166-169,共4页China Continuing Medical Education

摘　　要：目的探讨益母草注射液用于顺产后胎盘胎膜残留的临床价值。方法选择2019年1—11月本院收治的经阴道分娩后胎盘胎膜残留者80例为研究对象,按照随机数字表法分为两组,各40例。所有入组者均在产后2 h内实施10个单位缩宫素肌肉注射,对照组使用生化汤,观察组则使用益母草注射液,连续7天为1疗程,治疗后复查阴道超声,必要时行清宫术治疗。比较两组产后24 h出血量、下床活动时间及产后第7天血β-hCG结果;比较两组治疗前后胎盘胎膜残留面积;统计两组整体临床治疗效果。结果观察组产后24 h出血量少于对照组(P<0.05),下床活动时间早于对照组(P<0.05),治疗后第7天血β-hCG低于对照组(P<0.05),治疗后观察组胎盘胎膜残留面积显著小于治疗前及治疗后对照组(P<0.05),观察组有效率(痊愈和有效)显著高于对照组(P<0.05)。结论针对经阴道分娩后胎盘胎膜残留者,应用益母草注射液,能有效的减少产后出血,促进残留胎盘胎膜组织排除体外,提高临床治疗效果。Objectives To explore the clinical value of motherwort injection for placenta and fetal membrane residue after spontaneous delivery.Methods From January to November 2019,80 cases with placenta and fetal membrane residue after vaginal delivery admitted to our hospital were selected as the research object and randomly divided into two group,40 cases each.All the participants were given intramuscular injection of 10 units of oxytocin within 2 hours after delivery.The control group was given Shenghua Decoction,while the observation group was given Leonurus japonicus Injection for 7 consecutive days as a course of treatment.Vaginal ultrasound was reexamined after treatment and curettage was performed if necessary.The 24-hour postpartum hemorrhage volume,ambulation time andβ-hCG results on the 7th day after delivery were compared between the two groups.The residual area of placenta and fetal membrane before and after treatment was compared between the two groups.The overall clinical therapeutic effects of the two groups were counted.Results The amount of postpartum hemorrhage in the observation group was less than that in the control group(P<0.05),the ambulation time was earlier than that in the control group(P<0.05),the bloodβ-hCG on the 7th day after treatment was lower than that in the control group(P<0.05),the residual area of placenta and membranes in the observation group after treatment was significantly smaller than that in the control group before and after treatment(P<0.05),and the effective rate(recovery and effectiveness)in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Motherwort injection can effectively reduce postpartum hemorrhage,promote the exclusion of residual placenta and fetal membranes from the body and improve the clinical therapeutic effect for patients with placenta and fetal membranes residue after vaginal delivery.

关 键 词：益母草 顺产 胎盘残留 胎膜残留 产后出血 下床活动时间 

分 类 号：R714[医药卫生—妇产科学]