摘要
目的分析益母草注射液联合缩宫素治疗妊高症宫缩乏力性产后出血患者的临床效果。方法选择2022年3月至2023年3月我院收治的82例妊高症宫缩乏力性产后出血患者作为研究对象,以治疗方案不同将其分为常规组和观察组,每组41例。常规组给予缩宫素注射液治疗,观察组在常规组治疗基础上增加益母草注射液治疗。比较两组的治疗效果。结果治疗后,观察组的子宫下段平滑肌收缩幅度、收缩频率、收缩活动力显著高于常规组(P<0.05)。产后48、72 h,观察组的出血量显著低于常规组(P<0.05)。治疗后,观察组的收缩期峰值血流速度(PSV)、阻力指数(RI)高于常规组,搏动指数(PI)低于常规组(P<0.05)。分娩后2、3 d,观察组的宫底高度、子宫体积显著低于常规组(P<0.05)。两组用药期间的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论益母草注射液联合缩宫素治疗妊高症宫缩乏力性产后出血患者可取得安全、高效的临床效果。
Objective To analyze the clinical effect of motherwort injection combined with oxytocin in the treatment of patients with pregnancy-induced hypertension uterine atony postpartum hemorrhage.Methods From March 2022 to March 2023,82 patients with pregnancy-induced hypertension uterine atony postpartum hemorrhage were selected as the research objects.The patients were divided into conventional group and observation group according to different treatment schemes,with 41 cases in each group.The conventional group was treated with oxytocin injection,and the observation group was treated with motherwort injection on the basis of the conventional group.The therapeutic effects of the two groups were compared.Results After treatment,the contraction amplitude,contraction frequency and contraction activity of lower uterine segment smooth muscle in the observation group were significantly higher than those in the conventional group(P<0.05).At 48 and 72 h after delivery,the amount of bleeding in the observation group was significantly lower than that in the conventional group(P<0.05).After treatment,the peak systolic velocity(PSV)and resistance index(RI)in the observation group were higher than those in the conventional group,and the pulse index(PI)was lower than that in the conventional group(P<0.05).At 2 and 3 d after delivery,the uterine fundus height and uterine volume in the observation group were significantly lower than those in the conventional group(P<0.05).There was no significant difference in the total incidence of adverse reactions during medication between the two groups(P>0.05).Conclusion Motherwort injection combined with oxytocin in the treatment of patients with pregnancy-induced hypertension uterine atony postpartum hemorrhage can achieve safe and efficient clinical effiect.
作者
刘二妞
LIU Erniu(Obstetrics Department,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)
出处
《临床医学研究与实践》
2024年第18期114-117,共4页
Clinical Research and Practice
关键词
妊高症
宫缩乏力性产后出血
益母草注射液
缩宫素
妊娠结局
pregnancy-induced hypertension
uterine atony postpartum hemorrhage
motherwort injection
oxytocin
pregnancy outcome
