血塞通软胶囊防治产后出血的临床观察

目的：探讨血塞通软胶囊对产后出血的双向治疗作用。方法：60例产妇随机分为治疗组和对照组（各30例），分别用血塞通软胶囊和安慰剂治疗7天，观察产后出血情况。结果：两组血红蛋白、红细胞数量、红细胞压积及心脏指数产后第3天均低于产前（P＜0．05或P＜0．01）；网织细胞、治疗组产后低于产前，但差异无显著性，对照组产后低于产前（P＜0．05）。出血时间：治疗组产后较产前明显缩短（P＜0．05），对照组产后与产前相比无明显变化。血液粘度：对照组产前和产后比较差异有显著性（P＜0．05）。产后30min,1h,2h,24h出血量治疗组均明显低于对照组（P＜0．05，P＜0．01），子宫缩复情况：产后第2、4、7天治疗组均明显优于对照组（P＜0．05）。结论：血塞通软胶囊对产后止血确有疗效，并可促进子宫复旧，减少产后恶露，加速产妇产后恢复。

Clinical Observation on Treatment of Postpartum Hemorrhage by Xuesaitong Soft Capsule

Objective: To observe the effect of Xuesaitong (XST) soft capsule in treating postpartum hemorrhage. Methods: Sixty pregnant women were randomly divided into the treated group (A) and the control group (B), 30 cases in each, they were treated with XST and placebo respectively for 7 days to observe the changes of hemorrhagic conditions. Results: After delivery, the hemoglobin, RBC count, hematocrit and cardiac index were lower at 3rd day than those before delivery in both groups (P<0 05 or P<0 01), reticulocyte count lowered insignificantly as compared with that before delivery in group A but significantly in control group B; the bleeding time shortened significantly in group A (P<0 05) but unchanged in group B; significant change of blood viscosity only found in group B (P<0 05). The amount of bleeding 30 min, 1hr, 2hrs and 24 hrs after delivery in group A was all lower than that in group B respectively (P<0 01 or P<0 05). Involution of uterus in group A at 2nd, 4th and 7th day after delivery was all better than that in group B respectively (P<0 05). Conclusion: XST has definite effect in decreasing postpartum hemorrhage, it also shows effects in promoting involution of uterus, reducing lochia and accelerating recovery of parturients.