中西醫(yī)結合對子宮收縮乏力產(chǎn)后出血患者出血量、晚期再出血率及應激反應水平的影響
發(fā)布時間:2018-01-14 17:10
本文關鍵詞:中西醫(yī)結合對子宮收縮乏力產(chǎn)后出血患者出血量、晚期再出血率及應激反應水平的影響 出處:《中華中醫(yī)藥學刊》2017年06期 論文類型:期刊論文
更多相關文章: 補氣活血化瘀 米索前列醇 欣母沛 子宮收縮乏力 產(chǎn)后出血
【摘要】:目的:研究補氣活血飲化瘀輔助米索前列醇、欣母沛對子宮收縮乏力性產(chǎn)后出血產(chǎn)婦出血量、晚期再出血率及應激反應水平的影響。方法:選擇2015年1月—2016年6月在醫(yī)院分娩過程中出現(xiàn)子宮收縮乏力性產(chǎn)后出血的產(chǎn)婦140例。用隨機數(shù)表法分為對照組和實驗組,每組各70例,對照組產(chǎn)婦采用米索前列醇聯(lián)合欣母沛治療,實驗組產(chǎn)婦在對照組的基礎上聯(lián)合益氣化瘀經(jīng)驗方內(nèi)服治療。比較兩組產(chǎn)婦的臨床療效、應激指標及出血情況。結果:實驗組產(chǎn)婦的總有效率為100.00%,對照組產(chǎn)婦的總有效率為90.00%,差異有統(tǒng)計學意義(P0.05)。實驗組產(chǎn)婦的腎素為(2.81±0.55)pg/mL、腎上腺素為(101.75±16.84)ng/mL、血管緊張素Ⅱ為(30.39±5.41)pg/mL、去甲腎上腺素為(146.27±19.03)ng/mL,應激指標低于對照組,差異有統(tǒng)計學意義(P0.05)。實驗組產(chǎn)婦的出血量為(634.27±88.13)mL,止血時間為(24.71±5.19)min,晚期再出血率為1.43%,產(chǎn)褥期感染率為4.29%,以上指標均低于對照組,差異有統(tǒng)計學意義(P0.05)。結論:補氣活血飲化瘀輔助米索前列醇、欣母沛可以促進子宮收縮乏力性產(chǎn)后出血產(chǎn)婦的子宮收縮,緩解應激反應,減少出血量和再出血率,療效顯著。
[Abstract]:Objective: to study the effects of Bushi Huoxue Yin (BHXY) and Xinmu Pei (HMP) on bleeding volume of puerpera with uterine asthenia postpartum hemorrhage. Effect of late rebleeding rate and stress level. Methods:. From January 2015 to June 2016, 140 cases of postpartum hemorrhage due to uterine asthenia were divided into two groups: control group and experimental group. Each group of 70 cases, the control group with misoprostol combined with Xinmu Pei treatment, the experimental group on the basis of the control group combined with Yiqi Huayu experience prescription, the clinical efficacy of the two groups were compared. Results: the total effective rate of puerpera in the experimental group was 10. 00g and the total effective rate in the control group was 90.00%. The difference was statistically significant (P 0.05). The levels of renin and epinephrine were 2.81 鹵0.55 g / mL and 101.75 鹵16.84 ng / mL, respectively. The levels of angiotensin 鈪,
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