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目的:探讨益气化瘀经验方联合欣母沛、米索前列醇治疗子宫收缩乏力产后出血的临床效果。方法:选取在我院分娩发生产后出血的108例产妇为研究对象,所有患者均为子宫收缩乏力所致产后出血,采用随机数字表法分为对照组和观察组各54例,对照组患者给予欣母沛联合米索前列醇治疗,观察组患者在对照组基础上给予益气化瘀经验方内服治之。观察两组出血情况、应激反应及治疗效果。结果:观察组治疗疗效明显高于对照组(100.00%vs 90.74%);止血时间、出血量、产褥期感染率、晚期再出血率均明显低于对照组[(24.82±5.24)min vs(47.24±8.45)min、(635.31±94.45)m L vs(1045.44±155.32)m L、(3.70%vs24.07%)、(1.85%vs 11.11%)];肾上腺素、去甲肾上腺素、肾素、血管紧张素Ⅱ水平均明显低于对照组[(102.23±17.12)ng/m L vs(211.45±29.18)ng/m L、(143.54±19.12)ng/m L vs(277.23±31.13)ng/m L、(2.78±0.52)pg/m L vs(5.68±1.02)pg/m L、(30.43±5.45)pg/m L vs(57.54±7.21)pg/m L]。结论:益气化瘀经验方剂联合欣母沛、米索前列醇能够有效促进子宫收缩,降低产后出血,预防再出血发生,缓解应激反应,提高治疗效果。
Objective: To investigate the clinical effects of Yiqi Huayu prescription combined with Xin Maopei and misoprostol in treating postpartum hemorrhage with uterine atony. Methods: 108 maternal postpartum hemorrhage in our hospital were selected as study subjects, all patients were postpartum hemorrhage due to uterine atony. Randomly divided into 54 cases in control group and observation group, and control group Yan Xin Pei combined with misoprostol treatment, the observation group patients in the control group on the basis of Yiqi Huayu experience prescription within the service rule. Two groups were observed bleeding, stress response and treatment effect. Results: The curative effect in the observation group was significantly higher than that in the control group (100.00% vs 90.74%). The bleeding time, the amount of bleeding, the puerperium infection rate and the rate of late rebleeding were significantly lower in the observation group than in the control group [(24.82 ± 5.24) min vs (47.24 ± 8.45) min, (635.31 ± 94.45) m L vs. (1045.44 ± 155.32) m L, (3.70% vs 24.07%), (1.85% vs 11.11%)]; epinephrine, norepinephrine, renin, The level of t-II was significantly lower than that of the control group [(102.23 ± 17.12) ng / m L vs (211.45 ± 29.18) ng / m L, (143.54 ± 19.12) ng / m L vs (277.23 ± 31.13) ng / m L , (2.78 ± 0.52) pg / m L vs (5.68 ± 1.02) pg / m L, (30.43 ± 5.45) pg / m L vs (57.54 ± 7.21 pg / m L], respectively. Conclusion: Yiqi Huayu prescription combined Xin Yan Pei, misoprostol can effectively promote uterine contraction, reduce postpartum hemorrhage, prevent the occurrence of rebleeding, relieve stress response and improve the therapeutic effect.