缩宫素注射液联合益母草注射液治疗阴道分娩后胎盘胎膜残留的效果  

Analysis of the effect of oxytocin injection combined with motherwort injection in the treatment of placental and fetal membrane residues after vaginal delivery

作　　者：罗燕 阮宏娟 宁钰 LUO Yan;RUAN Hong-juan;NING Yu(Xinyi maternal and Child Health Hospital,Guangdong Province,Xinyi 525300,China)

机构地区：[1]广东省信宜市妇幼保健院,广东信宜525300

出　　处：《吉林医学》2022年第7期1839-1842,共4页Jilin Medical Journal

摘　　要：目的:探讨缩宫素注射液联合益母草注射液治疗阴道分娩后胎盘胎膜残留的效果。方法:选取收治的121例阴道分娩后胎盘胎膜残留患者为研究对象,随机分为对照组(n=60)和观察组(n=61)。对照组行缩宫素注射液治疗,观察组在对照组治疗基础上加以益母草注射液治疗。观察两组患者的临床指标、凝血功能以及炎性因子水平。结果:观察组子宫体积小于对照组,观察组胎盘胎膜排除率大于对照组,观察组血性恶露持续时间小于对照组,差异有统计学意义(P<0.05);治疗后观察组的纤维蛋白原(FIB)水平大于对照组,凝血酶时间(TT)和凝血酶原时间(PT)水平小于对照组,差异有统计学意义(P<0.05);治疗后观察组的C-反应蛋白(CRP)、降钙素原(PCT)和白细胞(WBC)水平小于对照组,差异有统计学意义(P<0.05)。结论:在治疗阴道分娩后胎盘胎膜残留时,与单独使用缩宫素注射液相比,缩宫素注射液联合益母草注射液更能促进胎盘胎膜残留物的排出,加快子宫恢复,还能够改善患者的凝血功能,减轻炎性反应,提高临床疗效。Objective To investigate the effect of oxytocin injection combined with motherwort injection in the treatment of placental membrane residual after vaginal delivery.Method 121 patients with residual placental membranes after vaginal delivery who were admitted in our hospital were selected and randomly divided into the control group and the observation group,including 60 patients in the control group and 61 patients in the observation group.The control group was treated with oxytocin injection,and the observation group was treated with motherwort injection.The clinical indexes,coagulation function and the levels of inflammatory factors were observed in the two groups of patients.Results The uterine volume in the postpartum observation group was smaller than that in the control group,the placental membrane exclusion rate in the observation group was greater than that in the control group,and the duration of bloody lochia in the observation group was shorter than that in the control group,with statistically significant differences(P<0.05).After treatment,the level of fibrinogen(FIB)in the observation group was higher than that in the control group,and the levels of thrombin time(TT)and prothrombin time(PT)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of C-reactive protein(CRP),procalcitonin(PCT)and white blood cells(WBC)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of placental and fetal membrane residues after vaginal delivery,compared with oxytocin injection alone,oxytocin injection combined with motherwort injection can promote the excretion of placental and fetal membrane residues,promote uterine recovery,and improve the patient's health.Coagulation function,reduce inflammatory response,and improve clinical efficacy.

关 键 词：缩宫素 益母草 阴道分娩 胎盘胎膜残留 

分 类 号：R714.462[医药卫生—妇产科学]