生化汤联合卡前列素氨丁三醇治疗宫缩乏力性产后出血的临床疗效

Biochemical Decoction Combined with Carboprost Treatment of Postpartum Hemorrhage in Ammonia Butyl Alcohol Three

目的对生化汤联合卡前列素氨丁三醇治疗宫缩乏力性产后出血的治疗效果进行探究。方法选取2012年12月到2016年12月间在我院进行治疗的27例患者作为研究对象,依随机数字的方法分为实验组与对照组。实验组14例,对照组13例,对照组患者单纯使用卡前列素氨丁三醇治疗,实验组患者在在对照组的基础上使用生化汤治疗,观察两组患者第三产程用时、产后2小时以及24小时的出血量,同时观察两组患者的不良反应情况。结果实验组患者在第三产程用时(6.35±1.19)min明显短于对照组(9.89±2.87)min,实验组产后2小时出血量(179.56±24.68)ml、24小时出血量(243.78±33.21)ml低于对照组产后2小时出血量(198.24±19.61)ml、24小时出血量(343.29±41.56)ml,实验组不良反应发生率(0%)明显低于对照组(23.07%),差异均具有统计学意义(P<0.05)。结论对因宫缩乏力造成的产后出血患者使用生化汤联合卡前列素氨丁三醇治疗,能够明显降低患者的术后出血量,缩短产程时间,降低术后并发症的发生率,可进一步在临床中总结应用。

Objective To explore the biochemical decoction combined with carboprost ammonia butyl alcohol three in treatment of uterine atony postpartum hemorrhage curative effect. Methods From December 2012 to December 2016 in our hospital for treatment of 27 patients as the research object, according to randomly divided into experimental group and control group. 14 cases in the experimental group, 13 cases in the control group,the control group were treated with carboprost ammonia butyl alcohol three treatment, patients in the experimental group using biochemical Decoction based on the control group, two groups were observed in patients with third labor time, 2 hours and 24 hours postpartum hemorrhage, and observe the adverse reactions of the two groups. Results The experimental group in the third labor time was significantly shorter than that of the control group [（6.35＋1.19） min vs.（9.89＋2.87） min], the amount of postpartum bleeding in 2 and 24 hours of experimental group were less than those of control group [（179.56＋24.68） ml vs.（198.24＋19.61） ml,（243.78＋33.21） ml vs.（343.29＋41.56） ml], the adverse effects rate of experimental group） was significantly lower than that of control group（（0% vs. 23.07%）, all of the differences were statistically significant（P〈0.05）. Conclusion The postpartum hemorrhage caused by uterine inertia in patients with biochemical decoction combined with carboprost ammonia butyl alcohol three treatment, can significantly reduce the patient＇s bleeding after the operation, shorten labor time, reduce the incidence of postoperative complications, can be summarized in the clinical application.