益母草注射液在剖宫产同时挖除子宫肌瘤术中的应用

目的 探讨剖宫产同时挖除子宫肌瘤术中应用益母草注射液预防产后出血的作用。方法 回顾性分析枣庄市妇幼保健院于2011年1月至2013年12月因各种原因行剖宫产同时挖除子宫肌瘤的产妇为研究对象。其中对照组（缩宫素组）40例，于胎儿娩出后子宫肌壁注射缩宫素10U，同时静脉滴注缩宫素10U，于子宫肌瘤四周及基底部注射缩宫素IOU，术后2h开始缩宫素臀部肌内注射10U／12h，共4次；研究组（益母草＋缩宫素组）43例，于胎儿娩出后子宫肌壁注射益母草注射液40mg，术中缩宫素用法同对照组，术后2h开始益母草注射液臀部肌内注射20mg／12h，共4次，观察产时出血量、产后24h的阴道出血量、产后出血发生率、产前及产后血红蛋白的差值。结果 产时出血量、产后24h的阴道出血量、产前及产后血红蛋白的差值研究组均少于对照组，产后出血发生率研究组较对照组明显降低，差异均有统计学意义（P〈0．05）。结论 剖宫产同时挖除子宫肌瘤术中应用益母草注射液及缩宫素，可有效预防产后出血的发生。

Application of motherwort injection in cesarean section at the same time remove uterine fibroids

Objective To study the cesarean section at the same time remove uterine fibroids intrapartum application motherwort herb injection to prevent the effect of postpartum hemorrhage. Methods Retrospective analysis of January 2011 to December 2013 cesarean section at the same time because of all sorts of reasons do remove uterine fibroids of the parturient women as the research object. The control group （oxytocin group） 40 cases, in fetal childbirth uterine muscle after wall injection oxytocin 10 U, and at the same time, drip oxytocin 10 U in uterine fibroids around and basal part injection oxytocin 10 U, postoperative 2 h began to oxytocin hip intramuscular injection and U / 12 h, 4 times; The team （herba leonuri ＋ oxytocin group） 43 cases, in fetal childbirth uterine muscle wall after injection of motherwort herb injection and mg, intraoperative oxytocin usage with contrast, the qol, 2 h start motherwort herb injection hip intramuscular injection and mg / 12 h, a total of four times. Observation intrapartum amount of bleeding, postpartum 24 h vaginal amount of bleeding, postpartum hemorrhage rate, prenatal and postnatal hemoglobin difference value. Results The intrapartum amount of bleeding, postpartum 24 h vaginal amount of bleeding, prenatal and postnatal hemoglobin the difference between the way research were less than control group, the incidence of postpartum hemorrhage was reduced significantly, and control group differences were statistically significant （P 〈 0. 01 ）. Conclusion Cesarean section at the same time remove uterine fibroids intraoperative application motherwort herb injection and oxytocin, which can effectively prevent the occurrence of postpartum hemorrhage.