益母草注射液联合缩宫素预防自然分娩产妇产后出血的效果

Effect of Yimucao injection combined with oxytocin on prevention of postpartum hemorrhage in natural delivery women

目的分析益母草注射液联合缩宫素预防自然分娩产妇产后出血的效果。方法选取2016年9月至2017年9月我院收治的60例自然分娩产妇作为研究对象,随机将其分为对照组(30例)与观察组(30例)。对照组单独给予缩宫素注射液肌肉注射或宫体注射,观察组给予益母草注射液联合宫缩素肌肉注射或宫体注射。比较两组用药效果。结果观察组产妇第三产程时间短于对照组,且产后2、24 h出血量均少于对照组(P<0.05)。观察组产后出血发生率、并发症总发生率均低于对照组,宫缩持续时间、恶露持续时间及住院时间均短于对照组(P<0.05)。两组新生儿窒息率比较,差异无统计学意义(P>0.05)。结论益母草注射液联合缩宫素对自然分娩产妇产后出血的预防效果显著,能够有效减少产妇产后出血量,降低产妇产后出血率、并发症发生率及新生儿窒息率,值得临床推广应用。

Objective To analyze the effect of Yimucao injection combined with oxytocin on prevention of postpartum hemorrhage in natural delivery women. Methods Sixty cases of natural delivery women in our hospital from September 2016 to September 2017 were selected as the study objects, and they were randomly divided into control group(n =30) and observation group(n=30). The control group was treated with intramuscular or intrauterine injection of oxytocin injection.The observation group was given intramuscular or intrauterine injection of Yimucao injection combined with oxytocin injection. The medication effects in the two groups were compared. Results The time of third stage of labor in the observation group was shorter than that of the control group, and the amount of bleeding loss at 2 and 24 h after delivery were less than those of the control group(P<0.05); the incidence of postpartum hemorrhage and total incidence of complications in the observation group were significantly lower than those in the control group, the duration of uterine contraction,duration of lochia and length of hospital stay were shorter than those in the control group(P<0.05). There was no significant difference in the neonatal asphyxia rates between the two groups(P>0.05). Conclusion Yimucao injection combined with oxytocin on prevention of postpartum hemorrhage in natural delivery women has a significant prevention effect. It can effectively reduce the amount of postpartum hemorrhage and decrease the incidences of postpartum hemorrhage, maternal complications and neonatal asphyxia. It is worthy of popularization and application in clinical practice.