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作 者:谢良姣 吉乃红 XIE Liangjiao(Department of Obstetrics and Gynecology,Zhangqiu District Maternal and Child Health Hospital,Jinan 250200,China)
机构地区:[1]章丘区妇幼保健院妇产科,山东济南250200 [2]不详
出 处:《反射疗法与康复医学》2024年第17期11-13,共3页Reflexology And Rehabilitation Medicine
摘 要:目的探讨缩宫素联合复方产后生化汤对促进产妇产后子宫修复的效果。方法选择该院2021年6月—2023年6月收治的300例产妇为研究对象,按随机数字表法将其分为对照组与观察组,各150例。对照组采用常规缩宫素治疗,观察组在对照组基础上联合使用复方产后生化汤治疗。对比两组的临床疗效、产后出血情况、子宫复旧程度、不良反应发生情况。结果观察组总有效率为93.33%,高于对照组的83.33%,差异有统计学意义(P<0.05)。观察组阴道出血量少于对照组,阴道出血持续时间短于对照组,组间差异有统计学意义(P<0.05)。治疗后,两组子宫三径之和减小,且观察组小于对照组,差异有统计学意义(P<0.05);两组子宫内膜厚度均增加,且观察组厚于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论缩宫素联合复方产后生化汤对产妇产后子宫修复的疗效显著,不仅能够减少产妇的阴道出血量,缩短阴道持续出血时间,还能促进子宫收缩及子宫内膜修复,且具有良好的安全性。Objective To explore the effect of oxytocin combined with compound postpartum Shenghua Decoction on promoting postpartum uterine repair.Methods A total of 300 parturients admitted to the hospital from June 2021 to June 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 150 cases in each group.The control group was treated with conventional oxytocin,and the observation group was treated with compound postnatal Shenghua Decoction on the basis of the control group.The clinical efficacy,postpartum hemorrhage,degree of uterine involvement and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 93.33%,higher than that of the control group 83.33%,and the difference was statistically significant(P<0.05).The amount of vaginal bleeding in the observation group was less than that in the control group,and the duration of vaginal bleeding was shorter than that in the control group,with statistical significance(P<0.05).After treatment,the sum of three diameters of uterus in the two groups decreased,and the observation group was smaller than the control group,the difference was statistically significant(P<0.05).Endometrial thickness increased in both groups,and the observation group was thicker than the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Oxytocin combined with compound postpartum Shenghua Decoction has a significant effect on postpartum uterine repair,which can not only reduce the amount of vaginal bleeding and shorten the duration of vaginal bleeding,but also promote uterine contraction and endometrial repair,and has a good safety.
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