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目的:观察子宫复原汤联合缩宫素促进剖宫产术后子宫复旧的疗效。方法:将剖宫产术后产妇120例,采用随机数字表法分为2组各60例。2组产妇均在硬膜外麻醉下行常规筋膜内子宫下段横切口剖宫产术。对照组产妇于术中胎儿娩出后立即宫体注射缩宫素。实验组产妇在对照组治疗基础上于术后第2天予自拟的子宫复原汤口服。观察并记录2组产妇术后产后宫缩痛和术后恶露持续时间,并通过超声检查评估其子宫复旧情况。结果:实验组产妇术后产后宫缩痛率高于对照组,差异有统计学意义(P<0.05),实验组产妇术后恶露持续时间短于对照组,差异有统计学意义(P<0.05)。实验组子宫复旧良好率高于对照组,差异有统计学意义(P<0.05)。结论:子宫复原汤联合缩宫素用于剖宫产术后促子宫复旧的临床疗效确切,能促进剖宫产术后子宫收缩,加强子宫的复旧,使子宫迅速复原,减少术后恶露持续时间。
Objective: To observe the effect of uterus recovery decoction combined with oxytocin in promoting uterine involution after cesarean section. Methods: 120 cases of maternal postpartum cesarean section were randomly divided into 2 groups of 60 cases. 2 groups of maternal epidural anesthesia underwent conventional fascia within the lower uterine incision cesarean section. Control group of mothers intrauterine injection of oxytocin immediately after intraoperative fetal delivery. The experimental group maternal in the control group on the basis of treatment in the first 2 days after the proposed uterine decoction oral administration. The postpartum uterine pain and the duration of postoperative lochia were observed and recorded in 2 groups of maternal women and their uterine involution was evaluated by ultrasonography. Results: The rate of postpartum uterine pain in experimental group was significantly higher than that in control group (P <0.05). The duration of lochia in experimental group was shorter than that in control group (P <0.05) ). The good rate of uterine involution in experimental group was higher than that in control group, the difference was statistically significant (P <0.05). Conclusion: Uterine Decoction combined with oxytocin for cesarean section to promote uterine involution after the exact clinical efficacy, can promote uterine contraction after cesarean section, to strengthen the uterine involution, the rapid recovery of the uterus, reducing the duration of lochia after surgery .