中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
9期
1408-1409
,共2页
综合治疗%产后出血%防治%终止妊娠%疗效
綜閤治療%產後齣血%防治%終止妊娠%療效
종합치료%산후출혈%방치%종지임신%료효
Comprehensive treatment%Postpartum hemorrhage%Prevention%Termination of pregnancy%Efficacy
目的：探讨应用综合治疗方法对防治终止妊娠产后出血的临床疗效。方法：对我院2009年9月至2012年9月的150例(15~28)周终止妊娠分娩的产妇进行回顾性分析。并随机分为两组：对照组的75例采用常规疗法进行治疗(催产素针20U官颈注射)；而治疗组的75例则应用综合疗法进行治疗(合用卡孕栓、催产素以及子宫按摩治疗)。观察并比较两组产妇产时、产后24h的出血量并计算不同方法对孕妇终止妊娠产后出血的总有效率，评价临床疗效。结果：治疗组产妇产时、产后24h的出血量均低于对照组，经检验两者具显著性差异(P<0.05)；另外，治疗组产妇治疗的总有效率为97.33%，而对照组则为82.67%，可见治疗组产妇治疗的总有效率明显高于对照组，经检验两者也具显著性差异(P<0.05)。结论：合用卡孕栓、中药以及子宫按摩治疗等综合治疗方法对防治孕妇终止妊娠产后出血的临床疗效显著，不但可以减少产时、产后出血量，而且还可以有效提高治疗有效率，值得在临床上推广使用。
目的：探討應用綜閤治療方法對防治終止妊娠產後齣血的臨床療效。方法：對我院2009年9月至2012年9月的150例(15~28)週終止妊娠分娩的產婦進行迴顧性分析。併隨機分為兩組：對照組的75例採用常規療法進行治療(催產素針20U官頸註射)；而治療組的75例則應用綜閤療法進行治療(閤用卡孕栓、催產素以及子宮按摩治療)。觀察併比較兩組產婦產時、產後24h的齣血量併計算不同方法對孕婦終止妊娠產後齣血的總有效率，評價臨床療效。結果：治療組產婦產時、產後24h的齣血量均低于對照組，經檢驗兩者具顯著性差異(P<0.05)；另外，治療組產婦治療的總有效率為97.33%，而對照組則為82.67%，可見治療組產婦治療的總有效率明顯高于對照組，經檢驗兩者也具顯著性差異(P<0.05)。結論：閤用卡孕栓、中藥以及子宮按摩治療等綜閤治療方法對防治孕婦終止妊娠產後齣血的臨床療效顯著，不但可以減少產時、產後齣血量，而且還可以有效提高治療有效率，值得在臨床上推廣使用。
목적：탐토응용종합치료방법대방치종지임신산후출혈적림상료효。방법：대아원2009년9월지2012년9월적150례(15~28)주종지임신분면적산부진행회고성분석。병수궤분위량조：대조조적75례채용상규요법진행치료(최산소침20U관경주사)；이치료조적75례칙응용종합요법진행치료(합용잡잉전、최산소이급자궁안마치료)。관찰병비교량조산부산시、산후24h적출혈량병계산불동방법대잉부종지임신산후출혈적총유효솔，평개림상료효。결과：치료조산부산시、산후24h적출혈량균저우대조조，경검험량자구현저성차이(P<0.05)；령외，치료조산부치료적총유효솔위97.33%，이대조조칙위82.67%，가견치료조산부치료적총유효솔명현고우대조조，경검험량자야구현저성차이(P<0.05)。결론：합용잡잉전、중약이급자궁안마치료등종합치료방법대방치잉부종지임신산후출혈적림상료효현저，불단가이감소산시、산후출혈량，이차환가이유효제고치료유효솔，치득재림상상추엄사용。
Objective:To explore the clinical efficacy of integrated treatment prevention of postpartum hemorrhage by termination of pregnancy.Methods:Retrospectively analyzed the 150 cases of postpartum hemorrhage by termination of pregnancy in my hospital from September 2009 to September 2012. And randomly divided into two groups:75 patients of the control group give conventional therapy treatment (cervical injection of oxytocin needle 20U);And 75 patients of the treatment group using combination therapy treatment (in combination with carprost, oxytocin as well as uterine massage therapy). Observe and compare the amount of bleeding of the two sets from intrapartum, postpartum 24h.And calculate the total efficiency of the pregnant women to evaluate the clinical efficacy.Results:The maternal of the treatment group's intrapartum, postpartum 24h bleeding were lower than the control group, after testing both with significant differences (P<0.05); In addition, the maternal of the treatment group's total effective rate was 97.33% compared with 82.67% in the control group.It is visible that the total effective rate of the treatment group is significantly higher than the control group,also been tested with significant difference (P<0.05).Conclusion:The integrated treatment Combinating the carprost, traditional Chinese medicine, as well as uterine massage have significant clinical efficacy prevention of postpartum hemorrhage by termination of pregnancy. Not only can it reduce the production,post-partum bleeding, but also can improve the treatment efficiency.So it is worth to promote in clinical use.
