益母草注射液治疗胎盘胎膜残留所致晚期产后出血疗效探讨

Study on Curative Effect of Yimucao Injection in Treatment of Advanced Postpartum Hemorrhage Caused by Retained Placenta

目的探索益母草注射液治疗胎盘胎膜残留所致晚期产后出血的临床疗效;方法纳入2014年3月—2017年3月在该院分娩24 h后出现晚期产后出血的产妇64例,随机分为新生化颗粒对照组和益母草注射液联合新生化颗粒观察组,各32例,采用相应的治疗方案,观察阴道出血时间、出血量、不良反应发生情况,并彩超检查宫内胎盘胎膜残留情况。结果观察组药物治疗治愈率为96.9%,显著高于对照组的75.0%,差异有统计学意义(P<0.05)。观察组的出血持续时间为(3.14±0.97)d,显著短于对照组的(4.79±1.42)d,观察组的出血量为(72.13±31.21)m L,显著少于对照组的(108.16±36.25)m L,差异有统计学意义(P<0.05)。两组均未发生不良反应。结论益母草注射液联合新生化颗粒能很好地治疗胎盘胎膜残留所致的晚期产后出血,安全性高。

Objective To explore the curative effect of yimucao injection in treatment of advanced postpartum hemorrhage caused by retained placenta. Methods 64 cases of delivery women with advanced postpartum hemorrhage after 24h delivery from March 2014 to March 2017 were selected and randomly divided into two groups with 32 cases in each, the control group were treated with xinshenghua capsules, while the observation group were treated with yimucao injection and xinshenghua capsules, and the vaginal bleeding time, bleeding amount, occurrence of adverse reactions and intrauterine placenta and fetal membranes examined by color ultrasound examination were observed. Results The healing rate of drug treatment in the observation group was obviously higher than that in the control group（96.9% vs75.0%）, and the difference was statistically significant（P〈0.05）, and the bleeding duration in the observation group was obviously shorter than that in the control group,[（3.14±0.97）d vs（4.79±1.42）d], and the bleeding amount in the observation group was obviously lower than that in the control group[（72.13±31.21）m L vs（108.16±36.25）m L], and the difference was statistically significant（P〈0.05）, there were no adverse reactions in the two groups. Conclusion The yimucao injection can better treat the advanced postpartum hemorrhage caused by retained placenta and the safety is high.