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目的观察因瘢痕子宫行二次剖宫产术应用益母草注射液联合缩宫素预防产后出血的效果。方法将2010年1月至2012年3月在长春市妇产医院住院因瘢痕子宫而行二次剖宫产结束妊娠的产妇330例用简单随机抽样法分成实验组和对照组,分为用益母草注射液联合缩宫素组和单用缩宫素组。结果分析产后出血发生率,术中及术后24h出血量联合用药组组均明显少于对照组(P<0.05)。术中术后因宫缩乏力,出血量多而加用其他缩宫药物的例数比较,实验组明显少于对照组(P<0.05)。联合用药组术后发生不良反应的机率与对照组比较差异无统计学意义(P>0.05)。结论益母草注射液应用于瘢痕子宫二次剖宫产手术,可以明显降低术中、术后出血,减少不良反应的发生,效果显著,且安全方便。
Objective To observe the effect of second cesarean section with scar and uterus on the prevention of postpartum hemorrhage by using Leonurum injection combined with oxytocin. Methods From January 2010 to March 2012 in Changchun Maternity Hospital inpatient secondary cesarean scar hypertrophy and termination of pregnancy 330 cases of simple random sampling divided into experimental group and control group, divided into motherwort Injection combined with oxytocin and oxytocin alone. Results Analysis of the incidence of postpartum hemorrhage, intraoperative and postoperative 24 h bleeding combined treatment group were significantly less than the control group (P <0.05). Intraoperative postoperative as uterine inertia, bleeding and more use of other shrinkage drugs compared with the number of cases, the experimental group was significantly less than the control group (P <0.05). There was no significant difference in the incidence of adverse reactions between the combination group and the control group (P> 0.05). Conclusion The application of Motherwort Injection in scar cesarean section with secondary cesarean section can significantly reduce intraoperative and postoperative bleeding and reduce the incidence of adverse reactions, with significant effects and safety and convenience.