本文關(guān)鍵詞：中西醫(yī)結(jié)合對(duì)子宮收縮乏力產(chǎn)后出血患者出血量、晚期再出血率及應(yīng)激反應(yīng)水平的影響　出處：《中華中醫(yī)藥學(xué)刊》2017年06期 　論文類型：期刊論文

  更多相關(guān)文章： 補(bǔ)氣活血化瘀 米索前列醇 欣母沛 子宮收縮乏力 產(chǎn)后出血

【摘要】：目的:研究補(bǔ)氣活血飲化瘀輔助米索前列醇、欣母沛對(duì)子宮收縮乏力性產(chǎn)后出血產(chǎn)婦出血量、晚期再出血率及應(yīng)激反應(yīng)水平的影響。方法:選擇2015年1月—2016年6月在醫(yī)院分娩過程中出現(xiàn)子宮收縮乏力性產(chǎn)后出血的產(chǎn)婦140例。用隨機(jī)數(shù)表法分為對(duì)照組和實(shí)驗(yàn)組,每組各70例,對(duì)照組產(chǎn)婦采用米索前列醇聯(lián)合欣母沛治療,實(shí)驗(yàn)組產(chǎn)婦在對(duì)照組的基礎(chǔ)上聯(lián)合益氣化瘀經(jīng)驗(yàn)方內(nèi)服治療。比較兩組產(chǎn)婦的臨床療效、應(yīng)激指標(biāo)及出血情況。結(jié)果:實(shí)驗(yàn)組產(chǎn)婦的總有效率為100.00%,對(duì)照組產(chǎn)婦的總有效率為90.00%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。實(shí)驗(yàn)組產(chǎn)婦的腎素為(2.81±0.55)pg/mL、腎上腺素為(101.75±16.84)ng/mL、血管緊張素Ⅱ?yàn)?30.39±5.41)pg/mL、去甲腎上腺素為(146.27±19.03)ng/mL,應(yīng)激指標(biāo)低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。實(shí)驗(yàn)組產(chǎn)婦的出血量為(634.27±88.13)mL,止血時(shí)間為(24.71±5.19)min,晚期再出血率為1.43%,產(chǎn)褥期感染率為4.29%,以上指標(biāo)均低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:補(bǔ)氣活血飲化瘀輔助米索前列醇、欣母沛可以促進(jìn)子宮收縮乏力性產(chǎn)后出血產(chǎn)婦的子宮收縮,緩解應(yīng)激反應(yīng),減少出血量和再出血率,療效顯著。
[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 鹵0.55 g / mL and 101.75 鹵16.84 ng / mL, respectively. The levels of angiotensin 鈪，

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