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目的:探讨红参大枣汤冲服三七粉合并局部冷敷联合缩宫素治疗产后出血的效果。方法:选取产后出血患者85例,随机分为观察组41例和对照组44例。对照组患者除给予缩宫素20U常规肌肉注射,并取0.4mg米索前列醇纳肛。观察组患者除给予缩宫素20U常规肌肉注射外,同时用红参大枣汤冲服三七粉,并加冰袋置于下腹部冷敷。观察两组患者出血量、止血时间、输血量、产后病发生率、子宫切除率及临床疗效。结果:观察组患者产后24h出血量、止血时间及输血量均少于对照组,差异有统计学意义(P<0.05);对照组患者产后出血再发率(2.44%)、子宫切除率(0.00%)、有效率(79.55%)均低于观察组(18.18%、11.36%、97.56%),差异有统计学意义(P<0.05)。结论:中西医结合治疗产后出血效果显著,值得临床推广应用。
Objective: To investigate the effect of red ginseng jujube soup punctuated with notoginseng powder and local cold compress combined with oxytocin in the treatment of postpartum hemorrhage. Methods: Eighty-five postpartum hemorrhage patients were randomly divided into observation group (n = 41) and control group (n = 44). In addition to the control group of patients given oxytocin 20U conventional intramuscular injection, and taking 0.4mg misoprostol rectal anal. Patients in the observation group were given routine intrauterine injection of oxytocin 20U, at the same time, the red ginseng jujube soup was punched in the powder of Panax notoginseng and placed in the lower abdomen with cold pack. Blood loss, bleeding time, blood transfusion, incidence of postpartum disease, hysterectomy and clinical efficacy were observed in two groups. Results: The bleeding volume, bleeding time and blood transfusion volume in observation group were less than those in control group, the difference was statistically significant (P <0.05); the incidence of postpartum hemorrhage (2.44%) and hysterectomy rate %), The effective rate (79.55%) were lower than the observation group (18.18%, 11.36%, 97.56%), the difference was statistically significant (P <0.05). Conclusion: The combination of traditional Chinese and Western medicine treatment of postpartum hemorrhage is significant, worthy of clinical application.