摘要
目的:观察生化汤联合米索前列醇片预防产后出血的临床效果。方法:纳入在本院分娩的120例产妇进行研究,按随机双盲法分为治疗组与对照组,每组60例。治疗组给予生化汤联合米索前列醇片治疗,对照组仅给予米索前列醇片治疗。治疗后评估2组治疗总有效率,统计出血量,观察患者小腹疼痛、出血量及血色的改善情况。结果:治疗组总有效率93.33%,对照组总有效率75.00%,2组比较,差异有统计学意义(P<0.01)。治疗组产后2 h和产后24 h的出血量均少于对照组,差异均有统计学意义(P<0.05)。治疗后,2组小腹疼痛、出血量、血色积分均较治疗前降低,差异均有统计学意义(P<0.05);观察组3项中医症状积分均低于对照组,差异均有统计学意义(P<0.05)。结论:生化汤联合米索前列醇片预防产后出血,效果优于单纯使用米索前列醇片,可进一步减少产后出血量和降低疼痛感。
Objective：To observe the prevent effect of Shenghua tang combined with misoprostol tablets for postpartum hemorrhage. Methods：Selected 120 parturient, and divided them into the treatment group and the control group with 60 cases in each according to the random double blind method. The treatment group was given Shenghua tang combined with misoprostol tablets,and the control group was given misoprostol tablets only. After treatment,evaluated the total effective rate,recorded the blood loss,and observed the improvement of lower abdomen pain,blood loss and the sanguinity of the two groups. Results：The total effective rate was 93.33% in the treatment group,and was 75.00% in the control group,the difference being significant（P〈0.01）. The blood loss of the treatment group 2h after delivery and 24 h after delivery was less than that of the control group（P〈0.05）. After treatment,scores of lower abdomen pain,blood loss and sanguinity of both groups were lower than those before treatment（P〈0.05）,and the three Chinese medicine symptom scores of the observation group were all lower than those of the control group（P〈0.05）. Conclusion：Shenghua tang combined with misoprostol tablets has better effect than use misoprostol tablets only in preventing postpartum hemorrhage,which can further reduce postpartum hemorrhage and pain.
出处
《新中医》
CAS
2017年第5期77-79,共3页
New Chinese Medicine
关键词
产后出血
血瘀型
中西医结合疗法
生化汤
米索前列醇片
出血量
疼痛
Postpartum hemorrhage
Blood stasis
Integrated Chinese and western medicine therapy
Shenghua tang
Misoprostol tablets
Blood loss
Pain
