益母草注射液联合缩宫素对第3产程及产后出血的影响

目的：探讨益母草注射液联合缩宫素对第3产程及产后出血的影响。方法回顾分析我科160例自然分娩且病历例资料完整的，单胎、足月、头位的产妇为研究对象，依据治疗方案不同分为观察组与对照组，对照组于前肩娩出后即刻臀部肌肉注射缩宫素20 U，观察组在此基础上臀部肌肉注射益母草注射液2 mL。记录第3产程时间及产后2、24 h出血量，测量用药后24 h血压变化及血红蛋白（ Hb）、白细胞计数（ WBC）。结果观察组第3产程时间明显短于对照组，产后2、24 h出血量少于对照组，有统计学意义（ P﹤0.05）；用药后24 h观察组Hb下降程度少于对照组（ P﹤0.05）。结论益母草注射液与缩宫素联合应用，能够起到协同作用，有效促进子宫收缩，缩短第3产程，更有效的预防PPH的发生。

Effect of Yimucao injection in combined with oxytocin on third stage of labor and postpartum hemorrhage

Objective To explore the effect of Timucao injection in combined with oxytocin on the third stage of labor and postpartum hemorrhage. Methods A total of 160 puerpera with single birth,full-term,and head position were included in the study,and divided into the observation group and the control group according to different treat-ment protocols. In the control group,after the anterior should was delivered,the buttock was immediately intramuscu-larly injected with oxytocin 20 U. On this basis,in the observation group,the buttock was intramuscularly injected with Timucao injection 2 mL. The third labor time and the amount of bleeding 2 h and 24 h after delivery were recorded. The blood pressure 24 h after medication,Hb,and WBC were detected. Results The third labor time and the amount of bleeding 2 h and 24 h after delivery in the observation group were significantly less than those in the control group ( P﹤0 . 05 ). The descend range of Hb 24 h after medication in the observation group was significantly less that that in the control group( P ﹤0 . 05 ). Conclusion Timucao injection in combined with oxytocin can play a synergistic effect,effectively promote the uterine contraction,and shorten the third labor time,thus more effectively preventing the occurrence of PPH.