益母草注射液与催产素联用防治产后出血的疗效观察

目的：对比观察益母草注射液与催产素联合应用在预防产后出血中的临床疗效。方法：随机选取于本院分娩的孕妇的180例2009年9月-2012年9月进行病例对照研究，将所有患者随机分为对照组和试验组。对照组在胎儿分娩后给予20U催产素肌内注射；试验组在对照组的基础上联合注射益母草注射液2ml；记录两组患者产后2h和24h的出血数量，进行比较，评定益母草注射液与催产素联合应用的临床疗效。结果：益母草注射液联合催产素治疗组2h的产后出血量（164．3±30．2）ml明显少于单独注射催产素组（254．1±29．3）ml；产后出血的例数（3／3.3％）明显少于对照组（9／10％），差异均有统计学意义（P〈0．05）。产后24h的出血量分别为（201．4±28．1）ml和（286．3±30．1）ml，差异无统计学意义（P〉0．05）。结论：产后联合肌内注射益母草注射液和催产素能够有效的预防产妇发生产后出血。

Motherwort Injection Associate with Oxytocin Prevention and Treatment of Postpartum Hemorrhage Efficacy

Objective： The contrast observed motherwort injection and oxytocin in combination in the prevention of postpartum hemorrhage clinical efficacy. Method： We randomly selected 180 cases of pregnant women giving birth in our hospital September 2009 to September 2012 conducted a casecontrol study, all patients randomized divided into the control group and the test group.control group after delivery of the fetus 20 U injection oxytocin Suji ; joint injection motherwort injection 2 ml of test group on the basis of the control group; compare the number of record the two groups of patients 2 and 24 hours post-partum bleeding, to assess of motherwort injection of oxytocin joint applications clinical efficacy. Result： motherwort injection combined with oxytocin treatment group 2 hours postpartum hemorrhage （ 164.3 ± 30.2 ） ml significantly less than a single injection of oxytocin group （ 254.1 ± 29.3 ） ml; cases of postpartum hemorrhage （ 3/3.3% ） was significantly less than the control group （ 9/10 ） ; significant difference between the two sets of data, a statistically significant （ P〈0.05 ） . The two groups postpartum bleeding in 24 hours respectively （ 20t.4 ± 28.1 ） ml and （ 286.3 ± 30.1 ） ml, no significant difference between the two sets of data （ P〉0.05 ） . Conclusion： Postpartum joint the intramuscular injection Motherwort injection and oxytocin to effective prevention of maternal postpartum hemorrhage.