中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
6期
12-13
,共2页
益母草注射液%宫腔填塞纱条%前置胎盘%剖宫产
益母草註射液%宮腔填塞紗條%前置胎盤%剖宮產
익모초주사액%궁강전새사조%전치태반%부궁산
Motherwort injection%Intraterine packing%Placenta previa%Cesarean section
目的探讨益母草注射液配合宫腔填塞纱条在剖宫产术中治疗前置胎盘产后出血的可行性、有效性及安全性.方法回顾性分析2007年1月至2011年12月在河南大学附属郑州市第一人民医院确诊为前置胎盘(中央性、部分性)的80例患者的临床资料,观察组40例采用益母草注射液配合宫腔纱条填塞,对照组40例采用欣母沛配合宫腔纱条填塞治疗剖宫产产后出血,观察对比产后2h、产后24h阴道出血情况.结果观察组患者全部抢救成功,其中38例(95%)止血效果满意,2例(5%)宫腔填塞纱条失败,行子宫切除术.对照组39例(97.5%)止血效果满意,1例(2.5%)失败,行子宫切除术.两组产后2h、24h阴道出血量、疗效及不良反应比较,差异无统计学意义(P>0.05).两组住院费用相比有统计学意义(P<0.05).结论益母草注射液配合宫腔填塞纱条在剖宫产术中治疗前置胎盘产后出血是一种操作简单、安全、有效、价廉的方法.
目的探討益母草註射液配閤宮腔填塞紗條在剖宮產術中治療前置胎盤產後齣血的可行性、有效性及安全性.方法迴顧性分析2007年1月至2011年12月在河南大學附屬鄭州市第一人民醫院確診為前置胎盤(中央性、部分性)的80例患者的臨床資料,觀察組40例採用益母草註射液配閤宮腔紗條填塞,對照組40例採用訢母沛配閤宮腔紗條填塞治療剖宮產產後齣血,觀察對比產後2h、產後24h陰道齣血情況.結果觀察組患者全部搶救成功,其中38例(95%)止血效果滿意,2例(5%)宮腔填塞紗條失敗,行子宮切除術.對照組39例(97.5%)止血效果滿意,1例(2.5%)失敗,行子宮切除術.兩組產後2h、24h陰道齣血量、療效及不良反應比較,差異無統計學意義(P>0.05).兩組住院費用相比有統計學意義(P<0.05).結論益母草註射液配閤宮腔填塞紗條在剖宮產術中治療前置胎盤產後齣血是一種操作簡單、安全、有效、價廉的方法.
목적탐토익모초주사액배합궁강전새사조재부궁산술중치료전치태반산후출혈적가행성、유효성급안전성.방법회고성분석2007년1월지2011년12월재하남대학부속정주시제일인민의원학진위전치태반(중앙성、부분성)적80례환자적림상자료,관찰조40례채용익모초주사액배합궁강사조전새,대조조40례채용흔모패배합궁강사조전새치료부궁산산후출혈,관찰대비산후2h、산후24h음도출혈정황.결과관찰조환자전부창구성공,기중38례(95%)지혈효과만의,2례(5%)궁강전새사조실패,행자궁절제술.대조조39례(97.5%)지혈효과만의,1례(2.5%)실패,행자궁절제술.량조산후2h、24h음도출혈량、료효급불량반응비교,차이무통계학의의(P>0.05).량조주원비용상비유통계학의의(P<0.05).결론익모초주사액배합궁강전새사조재부궁산술중치료전치태반산후출혈시일충조작간단、안전、유효、개렴적방법.
Objective To investigate the feasibility, efficacy and safety of motherwort injection combined with intrauterine packing in controlling of postpartum hemorrhage of cesarean section with placenta previa. Methods Retrospectively analyze the clinical date of 80 patients with placenta previa (central placenta previa, partrial placenta previa) in Henan university affiliated first people's hospital of zhengzhou from January 2009 to December 2011. In order to control massive hemorrhage during cesarean section, patients in the study group (40 cases) received mortherwort injection combined with intrauterine packing, patients in the control group (40 cases) received carboprost tromethamine injection combined with intrauterine packing. The amount of vaginal bleeding during 2 hours after delivery and 24 hours after delivery were observed. Results Patients in the study group were all successfully salvaged, in which 38 cases (95%) were successful in controlling of massive hemorrhage, 5 cases (5%) were failed and hysterectomy was used. In the control group, 39 cases (97.5%) were successful in controlling of massive hemorrhage, 1 cases (2.5%) were failed and hysterectomy was used. The two groups were no statistical difference in the amount of vaginal bleeding, efficacy and adverse reactions. The cost of hospital stay was statistical difference (P<0.05). Conclusion Motherwort injection combined with intrauterine packing is a simple, safe, effective and inexpensive technique in controlling of postpartum hemorrhage of cesarean section with placenta previa.
