CAJ | 학술논문

目的观察益母草注射液联合缩宫素在瘢痕子宫剖宫产中止血缩宫的有效性及安全性。方法将瘢痕子宫剖宫产产妇120例，随机分为实验组和对照组（各60例），实验组给予益母草+缩宫素，对照组给予缩宫素，比较两组术中、术后2h、术后24h出血量、产后出血发生率及加用其他药物发生率。结果实验组术中、术后2h、术后24h出血量明显低于对照组，两者之间的差异均有统计学意义（P＜0.05）。实验组产后出血发生率低于对照组，但两组之间差异无统计学意义（P＞0.05）。术中术后因宫缩乏力，出血量多而加用其他缩宫药物发生率的比较，实验组明显少于对照组（P＜0.05）。实验组术后发生不良反应率与对照组比较，差异无统计学意义（P＞0.05）。结论益母草注射液联合缩宫素更能有效促进瘢痕子宫子宫收缩，减少产后出血，且安全高效，值得临床推广。
목적관찰익모초주사액연합축궁소재반흔자궁부궁산중지혈축궁적유효성급안전성。방법장반흔자궁부궁산산부120례，수궤분위실험조화대조조（각60례），실험조급여익모초+축궁소，대조조급여축궁소，비교량조술중、술후2h、술후24h출혈량、산후출혈발생솔급가용기타약물발생솔。결과실험조술중、술후2h、술후24h출혈량명현저우대조조，량자지간적차이균유통계학의의（P＜0.05）。실험조산후출혈발생솔저우대조조，단량조지간차이무통계학의의（P＞0.05）。술중술후인궁축핍력，출혈량다이가용기타축궁약물발생솔적비교，실험조명현소우대조조（P＜0.05）。실험조술후발생불량반응솔여대조조비교，차이무통계학의의（P＞0.05）。결론익모초주사액연합축궁소경능유효촉진반흔자궁자궁수축，감소산후출혈，차안전고효，치득림상추엄。
Objective To investigate the effectiveness and security of motherwort combined with oxytocin to prevent postpartum hemorrhage and promote uterine contraction after cesarean section of women with scarred uterus. Methods 120 cases were randomLy divided into observation group 60 cases)and control group(60 cases).The observation group were given motherwort and oxytocin,and the control group were given oxytocin only.The amount of bleeding volum in operation,vaginal bleeding volum of postoperative 2,24h,the incidence of postpartum hemorrhage and the incidence of add other drugs were compared between the 2 groups.Results The amount of bleeding volum in operation and vaginal bleeding volum of postoperative 2,24h in observation group were less than that of control group,and there were significant difference between them(P<0.05).The incidence of postpartum hemorrhag in observation group was less than that of control group,but there was no significant difference between them(P > 0.05).The incidence of add other drugs in observation group was less than that of control group,and there was significant difference between them (P < 0.05).About the incidence of adverse reactions,there was no significant difference between them(P > 0.05). Conclusion The motherwort combined with oxytocin was efective and safe in reducing postpartum hemorrhage and promoting uterine contractions of women with scarred uterus, and was worth of clinical promotion.