缩宫素联合益母草预防前置胎盘产妇产后出血的效果观察(1)
【摘要】 目的：观察缩宫素联合益母草预防前置胎盘产后出血的临床效果。方法：选取2012年1月-2015年
4月在本院行剖宫产终止妊娠的前置胎盘产妇97例，随机将其分为益母草组(n=51)和欣母沛组(n=46)，益母草组产妇于胎儿娩出后给予缩宫素联合益母草治疗，欣母沛组给予缩宫素联合欣母沛治疗，比较两组术中控制出血效果、术中及术后2、24 h出血量。结果：益母草组产妇术中出血控制总有效率96.08%(49/51)明显高于欣母沛组的80.43%(37/46)，差异有统计学意义( 字2=5.887，P=0.015)。益母草组产妇术中出血量明显少于欣母沛组，差异有统计学意义(P<0.05)，而两组产后2、24 h出血量比较差异均无统计学意义(P>0.05)。结论：缩宫素联合益母草及缩宫素联合欣母沛均可预防前置胎盘产后出血，前者术中缩宫止血作用更优。
【关键词】 前置胎盘； 益母草； 欣母沛； 产后出血
, 百拇医药
【Abstract】 Objective：To observe the clinical effect of Oxytocin combined with Motherwort for the prevention of postpartum hemorrhage in placenta previa puerpera.Method：97 placenta previa puerpera who underwent cesarean section from January 2012 to April 2015 in our hospital were selected and randomly divided into the Motherwort group(n=51) and the Hemabate group(n=46).The Motherwort group received the treatment of Oxytocin and Motherwort in maternal fetal childbirth.The Hemabate group received the treatment of Oxytocin and Hemabate.The effect of intraoperative control hemorrhage，the hemorrhage of intraoperative and postpartum 2 hours and 24 hours between the two groups were compared.Result：The total effective rate of intraoperative control hemorrhage in the Motherwort group was 96.08%(49/51)，which was significantly higher than 80.43%(37/46) in the Hemabate group，the difference was statistically significant( 字2=5.887，P=0.015).The intraoperative hemorrhage of Motherwort group was significantly less than that of the Hemabate group，the difference was statistically significant(P<0.05)，there were no statistically significant differences in the hemorrhage of postpartum 2 hours and 24 hours(P>0.05).Conclusion：The Oxytocin combined with Motherwort for the prevention of postpartum hemorrhage in placenta previa puerpera has good effect as same as the Oxytocin combined with Hemabate，but intraoperative hemostatic effect in the former is better than that in the latter.
, 百拇医药
【Key words】 Placenta previa； Motherwort； Hemabate； Postpartum hemorrhage
First-author’s address：Maternal and Child Health Care Hospital of Pingxiang City，Pingxiang 337000，China
doi：10.3969/j.issn.1674-4985.2015.35.036
前置胎盘是妊娠晚期较为常见的严重并发症，是引起剖宫产产后大出血的主要原因之一，可对母儿生命健康造成严重威胁[1]。临床主要应用缩宫素、欣母沛、益母草等药物促进子宫收缩，以达到预防前置胎盘剖宫产术中及术后出血的目的，进而降低产后出血量和输血率[2]。本院应用缩宫素联合益母草预防前置胎盘产后出血，取得了较满意的效果，现报告如下。
1 资料与方法
1.1 一般资料 选取2012年1月-2015年4月在本院行剖宫产终止妊娠的前置胎盘产妇97例，年龄23～34岁，平均(27.48±3.15)岁；孕周29～41周，平均(34.84±3.76)周；边缘性前置胎盘53例，中央性前置胎盘16例，部分性前置胎盘28例。所有患者均经临床症状、腹部超声检查确诊为前置胎盘，剔除剖宫产术中及术后需应用本研究以外的其他缩宫药物或止血措施者。将上述纳入的研究对象随机分为益母草组和欣母沛组，其中益母草组51例，欣母沛组46例，两组产妇在年龄、孕周、前置胎盘类型等一般资料上比较，差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(刘清)
4月在本院行剖宫产终止妊娠的前置胎盘产妇97例，随机将其分为益母草组(n=51)和欣母沛组(n=46)，益母草组产妇于胎儿娩出后给予缩宫素联合益母草治疗，欣母沛组给予缩宫素联合欣母沛治疗，比较两组术中控制出血效果、术中及术后2、24 h出血量。结果：益母草组产妇术中出血控制总有效率96.08%(49/51)明显高于欣母沛组的80.43%(37/46)，差异有统计学意义( 字2=5.887，P=0.015)。益母草组产妇术中出血量明显少于欣母沛组，差异有统计学意义(P<0.05)，而两组产后2、24 h出血量比较差异均无统计学意义(P>0.05)。结论：缩宫素联合益母草及缩宫素联合欣母沛均可预防前置胎盘产后出血，前者术中缩宫止血作用更优。
【关键词】 前置胎盘； 益母草； 欣母沛； 产后出血
, 百拇医药
【Abstract】 Objective：To observe the clinical effect of Oxytocin combined with Motherwort for the prevention of postpartum hemorrhage in placenta previa puerpera.Method：97 placenta previa puerpera who underwent cesarean section from January 2012 to April 2015 in our hospital were selected and randomly divided into the Motherwort group(n=51) and the Hemabate group(n=46).The Motherwort group received the treatment of Oxytocin and Motherwort in maternal fetal childbirth.The Hemabate group received the treatment of Oxytocin and Hemabate.The effect of intraoperative control hemorrhage，the hemorrhage of intraoperative and postpartum 2 hours and 24 hours between the two groups were compared.Result：The total effective rate of intraoperative control hemorrhage in the Motherwort group was 96.08%(49/51)，which was significantly higher than 80.43%(37/46) in the Hemabate group，the difference was statistically significant( 字2=5.887，P=0.015).The intraoperative hemorrhage of Motherwort group was significantly less than that of the Hemabate group，the difference was statistically significant(P<0.05)，there were no statistically significant differences in the hemorrhage of postpartum 2 hours and 24 hours(P>0.05).Conclusion：The Oxytocin combined with Motherwort for the prevention of postpartum hemorrhage in placenta previa puerpera has good effect as same as the Oxytocin combined with Hemabate，but intraoperative hemostatic effect in the former is better than that in the latter.
, 百拇医药
【Key words】 Placenta previa； Motherwort； Hemabate； Postpartum hemorrhage
First-author’s address：Maternal and Child Health Care Hospital of Pingxiang City，Pingxiang 337000，China
doi：10.3969/j.issn.1674-4985.2015.35.036
前置胎盘是妊娠晚期较为常见的严重并发症，是引起剖宫产产后大出血的主要原因之一，可对母儿生命健康造成严重威胁[1]。临床主要应用缩宫素、欣母沛、益母草等药物促进子宫收缩，以达到预防前置胎盘剖宫产术中及术后出血的目的，进而降低产后出血量和输血率[2]。本院应用缩宫素联合益母草预防前置胎盘产后出血，取得了较满意的效果，现报告如下。
1 资料与方法
1.1 一般资料 选取2012年1月-2015年4月在本院行剖宫产终止妊娠的前置胎盘产妇97例，年龄23～34岁，平均(27.48±3.15)岁；孕周29～41周，平均(34.84±3.76)周；边缘性前置胎盘53例，中央性前置胎盘16例，部分性前置胎盘28例。所有患者均经临床症状、腹部超声检查确诊为前置胎盘，剔除剖宫产术中及术后需应用本研究以外的其他缩宫药物或止血措施者。将上述纳入的研究对象随机分为益母草组和欣母沛组，其中益母草组51例，欣母沛组46例，两组产妇在年龄、孕周、前置胎盘类型等一般资料上比较，差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(刘清)