中西医结合对子宫收缩乏力产后出血患者出血量、晚期再出血率及应激反应水平的影响

发布时间：2018-01-14 17:10

  本文关键词：中西医结合对子宫收缩乏力产后出血患者出血量、晚期再出血率及应激反应水平的影响　出处：《中华中医药学刊》2017年06期 　论文类型：期刊论文

  更多相关文章： 补气活血化瘀 米索前列醇 欣母沛 子宫收缩乏力 产后出血

【摘要】：目的:研究补气活血饮化瘀辅助米索前列醇、欣母沛对子宫收缩乏力性产后出血产妇出血量、晚期再出血率及应激反应水平的影响。方法:选择2015年1月—2016年6月在医院分娩过程中出现子宫收缩乏力性产后出血的产妇140例。用随机数表法分为对照组和实验组,每组各70例,对照组产妇采用米索前列醇联合欣母沛治疗,实验组产妇在对照组的基础上联合益气化瘀经验方内服治疗。比较两组产妇的临床疗效、应激指标及出血情况。结果:实验组产妇的总有效率为100.00%,对照组产妇的总有效率为90.00%,差异有统计学意义(P0.05)。实验组产妇的肾素为(2.81±0.55)pg/mL、肾上腺素为(101.75±16.84)ng/mL、血管紧张素Ⅱ为(30.39±5.41)pg/mL、去甲肾上腺素为(146.27±19.03)ng/mL,应激指标低于对照组,差异有统计学意义(P0.05)。实验组产妇的出血量为(634.27±88.13)mL,止血时间为(24.71±5.19)min,晚期再出血率为1.43%,产褥期感染率为4.29%,以上指标均低于对照组,差异有统计学意义(P0.05)。结论:补气活血饮化瘀辅助米索前列醇、欣母沛可以促进子宫收缩乏力性产后出血产妇的子宫收缩,缓解应激反应,减少出血量和再出血率,疗效显著。
[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 卤0.55 g / mL and 101.75 卤16.84 ng / mL, respectively. The levels of angiotensin 鈪，

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