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目的探讨益母草注射液与缩宫素联合应用预防产后出血的疗效。方法回顾性分析锡山人民医院2009年10月至2010年9月正常足月妊娠经阴道自然分娩者260例,产程中研究组132例给予益母草注射液+缩宫素,对照组128例仅给予缩宫素。分别观察第三产程时间、产后2小时、24小时的出血量,用药前后血压变化并进行比较。结果研究组与对照组第三产程时间分别为(5.56±1.85)min、(8.61±1.34)min,差异有统计学意义(P<0.05);产后2小时出血量分别为(154±10.8)m1、(216±34.8)m1,差异有统计学意义(P<0.05);产后24小时出血量分别为(188±54.8)ml、(276±34.7)ml,差异有统计学意义(P<0.05);研究组用药前血压为(122.8±13.0)/(73.4±9.7)mmHg,用药后血压为(121.9±10.3)/(75.6±9.2)mmHg,用药前后血压比较差异无统计学意义(P>0.05)。结论益母草注射液与缩宫素联合应用可减少产后出血。
Objective To investigate the curative effect of combination of motherwort injection and oxytocin on preventing postpartum hemorrhage. Methods A retrospective analysis of Xishan People’s Hospital from October 2009 to September 2010 normal full-term gestational vaginal delivery of 260 cases of labor in the study group 132 cases of motherwort injection of oxytocin and 128 cases of the control group only to shrink Palace element. The duration of the third stage of labor, postpartum 2 hours, 24 hours of bleeding, changes in blood pressure before and after treatment were compared and compared. Results The duration of the third stage of labor was (5.56 ± 1.85) min and (8.61 ± 1.34) min in study group and control group, respectively, with statistical significance (P <0.05). The amount of bleeding at 2 hours postpartum was (154 ± 10.8) m1 , (216 ± 34.8) m1, respectively, with statistical significance (P <0.05). The amount of bleeding at 24 hours after delivery was (188 ± 54.8) ml and (276 ± 34.7) (122.8 ± 13.0) / (73.4 ± 9.7) mmHg in the study group, and (121.9 ± 10.3) / (75.6 ± 9.2) mmHg in the study group. There was no significant difference in blood pressure before and after treatment (P> 0.05 ). Conclusion Motherwort injection and oxytocin combined application can reduce postpartum hemorrhage.