中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
7-9
,共3页
云南白药%宫腔水囊压迫%产后出血%疗效
雲南白藥%宮腔水囊壓迫%產後齣血%療效
운남백약%궁강수낭압박%산후출혈%료효
Yunnan Baiyao%Uterine cavity water sac compression%Postpartum hemorrhage%The curative effect
目的：探讨应用云南白药结合宫腔水囊压迫治疗胎盘胎膜残留性产后出血的临床效果及优势。方法：将68例胎盘胎膜残留性产后出血患者随机分为对照组（单纯水囊组，n=32）和试验组（云南白药纱布垫+水囊组，n=36）。两组均行同式的宫腔水囊压迫操作，试验组加用云南白药20 g +生理盐水50 mL的液体浸润的无菌纱布垫，于水囊侧胎盘胎膜残留处贴敷。比较两组操作所需时间、止血显效时间、留置时间；24 h留置出血量，取出过程阴道出血量，取出后12、24 h阴道出血量；血性恶露持续时间、1周内残留物排出（<3 cm）及产褥病率。结果：两组操作所需时间比较差异无统计学意义（P>0.05）。而试验组止血显效时间为（217.83±22.56）s，留置时间为（13.34±1.25）h，24 h留置出血量为（880.21±12.53）mL，取出过程阴道出血量为（14.67±1.13）mL，取出后12、24 h阴道出血量分别为（8.05±1.46）mL、（3.27±0.21）mL，血性恶露持续时间为（7.82±0.96）d，1周内残留物排除（<3 cm）为（31.05±0.57），产褥病率为（33±2.0）%，与对照组比较差异均有统计学意义（P<0.01）。结论：应用云南白药结合宫腔水囊压迫治疗胎盘胎膜残留性产后出血的临床效果明显优势于单纯宫腔水囊压迫治疗，为临床治疗胎盘胎膜残留性产后出血提供了良好的策略。
目的：探討應用雲南白藥結閤宮腔水囊壓迫治療胎盤胎膜殘留性產後齣血的臨床效果及優勢。方法：將68例胎盤胎膜殘留性產後齣血患者隨機分為對照組（單純水囊組，n=32）和試驗組（雲南白藥紗佈墊+水囊組，n=36）。兩組均行同式的宮腔水囊壓迫操作，試驗組加用雲南白藥20 g +生理鹽水50 mL的液體浸潤的無菌紗佈墊，于水囊側胎盤胎膜殘留處貼敷。比較兩組操作所需時間、止血顯效時間、留置時間；24 h留置齣血量，取齣過程陰道齣血量，取齣後12、24 h陰道齣血量；血性噁露持續時間、1週內殘留物排齣（<3 cm）及產褥病率。結果：兩組操作所需時間比較差異無統計學意義（P>0.05）。而試驗組止血顯效時間為（217.83±22.56）s，留置時間為（13.34±1.25）h，24 h留置齣血量為（880.21±12.53）mL，取齣過程陰道齣血量為（14.67±1.13）mL，取齣後12、24 h陰道齣血量分彆為（8.05±1.46）mL、（3.27±0.21）mL，血性噁露持續時間為（7.82±0.96）d，1週內殘留物排除（<3 cm）為（31.05±0.57），產褥病率為（33±2.0）%，與對照組比較差異均有統計學意義（P<0.01）。結論：應用雲南白藥結閤宮腔水囊壓迫治療胎盤胎膜殘留性產後齣血的臨床效果明顯優勢于單純宮腔水囊壓迫治療，為臨床治療胎盤胎膜殘留性產後齣血提供瞭良好的策略。
목적：탐토응용운남백약결합궁강수낭압박치료태반태막잔류성산후출혈적림상효과급우세。방법：장68례태반태막잔류성산후출혈환자수궤분위대조조（단순수낭조，n=32）화시험조（운남백약사포점+수낭조，n=36）。량조균행동식적궁강수낭압박조작，시험조가용운남백약20 g +생리염수50 mL적액체침윤적무균사포점，우수낭측태반태막잔류처첩부。비교량조조작소수시간、지혈현효시간、류치시간；24 h류치출혈량，취출과정음도출혈량，취출후12、24 h음도출혈량；혈성악로지속시간、1주내잔류물배출（<3 cm）급산욕병솔。결과：량조조작소수시간비교차이무통계학의의（P>0.05）。이시험조지혈현효시간위（217.83±22.56）s，류치시간위（13.34±1.25）h，24 h류치출혈량위（880.21±12.53）mL，취출과정음도출혈량위（14.67±1.13）mL，취출후12、24 h음도출혈량분별위（8.05±1.46）mL、（3.27±0.21）mL，혈성악로지속시간위（7.82±0.96）d，1주내잔류물배제（<3 cm）위（31.05±0.57），산욕병솔위（33±2.0）%，여대조조비교차이균유통계학의의（P<0.01）。결론：응용운남백약결합궁강수낭압박치료태반태막잔류성산후출혈적림상효과명현우세우단순궁강수낭압박치료，위림상치료태반태막잔류성산후출혈제공료량호적책략。
To study clinical effect of Yunnan Baiyao combined with uterine cavity water sac compression in treatment of placental membranes postpartum hemorrhage.Method:68 cases of postpartum hemorrhage were selected and randomly divided into control group(pure water capsule group,n=32)and experimental group(Yunnan Baiyao gauze pad+water sac,n=36).The two groups were performed uterine cavity water sac compression with the type of operation,the experimental group were given sterile gauze pad of liquid infiltration of Yunnan Baiyao 20 g and saline 50 mL,which applied in residues of membranes beside water sac placenta.The operating time,hemostatic time, indwelling time,24 h indwelling bleeding amount,vaginal haemorrhage amount in taking out process and 12,24 h after taking out,lochia rubra duration,residue discharge within 1 weeks(<3 cm)and puerperal disease rates of the two groups were compared.Result:There was no significant statistical differencein operation time between the two groups (P>0.05).In the experimental group ,the hemostatic time was(217.83±22.56)s,the indwelling time was(13.34±1.25)s, 24 h indwelling bleeding amount was(880.21±12.53)mL,vaginal haemorrhage amount in taking out process and 12, 24 h after taking out were(14.67±1.13)mL,(8.05±1.46)mL,(3.27±0.21)mL,respectively,lochia rubra duration was(7.82±0.96)d,residue discharge within 1 weeks was(27.43±0.57),and rate of puerperal disease(33±2.0)%, there were significant statistical difference compared with the control group(P<0.01).Conclusion:The clinical effect of Yunnan Baiyao combined with uterine cavity water sac compression in treatment of placental membranes postpartum hemorrhage is superior simple uterine cavity water sac compression,it provides a good strategy.
