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目的探讨益母草注射液联合缩宫素预防二次剖宫产产后出血的效果。方法选取2015年2—12月茂名市电白区妇幼保健院收治行二次剖宫产产妇80例,按随机数字表法将其分为对照组和观察组,各40例。对照组产妇给予缩宫素,观察组产妇采用益母草注射液联合缩宫素进行预防,比较两组产妇产后2 h、24 h出血量、产后出血发生率、第3产程时间及不良反应发生情况。结果观察组产妇产后2 h、24 h出血量均明显少于对照组,产后出血发生率明显低于对照组,第3产程时间明显短于对照组,差异均有统计学意义(均P<0.05);两组产妇的产后不良反应发生率差异无统计学意义(P>0.05)。结论益母草注射液联合缩宫素预防二次剖宫产产妇产后出血临床效果明显,可有效减少产妇产后出血量,缩短第3产程时间,安全性高。
Objective To investigate the effect of motherwort injection combined with oxytocin in preventing postpartum hemorrhage after cesarean section. Methods Twenty cases of second cesarean section were selected from Maternal and Child Health Hospital of Dianbai District in Maoming City from January to December 2015, and divided into control group and observation group according to random number table method, 40 cases in each group. The control group was given oxytocin. The observation group was treated with Motherwort injection and oxytocin. The bleeding volume, the incidence of postpartum hemorrhage, the third stage of labor and the incidence of adverse reactions were compared between the two groups at 2 h and 24 h postpartum. Results The bleeding volume of the observation group was significantly less than that of the control group at 2 h and 24 h postpartum, the incidence of postpartum hemorrhage was significantly lower than that of the control group, and the duration of the third stage of labor was significantly shorter than that of the control group (all P <0.05 There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusion The combination of motherwort injection and oxytocin to prevent postpartum hemorrhage secondary to cesarean section has obvious clinical effect, which can effectively reduce the amount of postpartum hemorrhage and shorten the third stage of labor, which is safe and safe.