益母草颗粒联合缩宫素治疗剖宫产宫缩乏力产后出血的效果探讨  

Effect of Yimucao Granules combined with oxytocin on postpartum hemorrhage after cesarean section due to uterine inertia

作　　者：柳美枝 陈德兰[1] 王毅珍 LIU Mei-zhi;CHEN De-lan;WANG Yi-zhen(Anhui Tianchang People's Hospital,Tianchang 239300)

机构地区：[1]安徽省天长市人民医院,安徽天长239300

出　　处：《湖北中医药大学学报》2024年第1期81-83,共3页Journal of Hubei University of Chinese Medicine

基　　金：安徽省自然科学基金资助项目(项目编号:1808085MH168)。

摘　　要：目的观察益母草颗粒和缩宫素治疗剖宫产宫缩乏力产后出血临床疗效。方法将我院150例剖宫产宫缩乏力产后出血产妇随机平分为观察组与对照组各75例。对照组采用缩宫素治疗,观察组采用益母草颗粒联合缩宫素治疗。比较两组产妇的临床疗效、术中、术后24 h出血量、恶露天数、产后第1~3天宫底高度、血红蛋白(Hb)、红细胞计数(RBC)水平。结果治疗后,观察组子宫复旧良好率高于对照组(P<0.05);两组术中出血量比较差异无统计学意义(P>0.05);观察组术后24 h出血量、恶露天数、产后第1~3天宫底高度低于对照组(P<0.05);两组Hb、RBC低于治疗前,观察组Hb、RBC高于对照组(P<0.05)。结论剖宫产宫缩乏力产后出血产妇应用益母草颗粒联合缩宫素治疗,可促进子宫收缩。Objective To observe the effect of Yimucao Granules combined with oxytocin on postpartum hemorrhage after cesarean section due to uterine inertia.Methods A total of 150 patients with postpartum hemorrhage after cesarean section due to uterine inertia were randomly divided into observation group and control group with 75 cases each.Control group was treated with oxytocin,while observation group was treated with Yimucao Granules on the basis of control group.The clinical efficacy,intraoperative and postoperative 24 h bleeding volume,lochia days,uterine floor height from 1st to 3rd postpartum,hemoglobin(Hb)levels and red blood cell(RBC)were compared between the two groups.Results After treatment,the good rate of uterine involution in observation group was higher than that in control group(P<0.05);there was no statistically significant difference in intraoperative bleeding between the two groups(P>0.05);the postoperative 24 h bleeding volume and lochia days,the height of the uterine floor height from the 1st to 3rd day postpartum in observation group were lower than those in control group(P<0.05);the Hb and RBC of both groups were lower than before treatment,and were higher in observation group than control group(P<0.05).Conclusion Yimucao Granules combined with oxytocin can promote uterine contraction in postpartum hemorrhage after cesarean section due to uterine inertia.

关 键 词：剖宫产 产后出血 宫缩乏力 益母草颗粒 缩宫素 

分 类 号：R259[医药卫生—中西医结合]