益母草注射液联合格丹及欣母沛在前置胎盘剖宫产术后出血中的应用及安全性分析(1)
摘 要：目的 分析益母草注射液联合格丹及欣母沛在前置胎盘剖宫产术后出血中的应用效果及安全性。方法 选取我院因前置胎盘行剖宫产术的60例产妇，随机分为两组各30例。对照组采用益母草注射液联合欣母沛，观察组在对照组基础上加用格丹，观察两组止血显效率、术后不良反应、出血情况、术后并发症发生率、子宫复旧率、术后Hb、RB水平以及新生儿结局。结果 两组止血显效率、术后不良反应和新生儿结局相比，差异无统计学意义(P>0.05)。观察组术中、术后出血情况以及并发症发生率均低于对照组，子宫复旧率和术后Hb、RBC均高于对照组，差异具有统计学意义(P<0.05)。结论 益母草注射液联合格丹及欣母沛治疗前置胎盘剖宫产术后出血效果确切，可减少术后并发症，且无严重不良反应，术后产妇恢复良好。
关键词：益母草注射液；格丹；欣母沛；前置胎盘；剖宫产出血
中图分类号：R714.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.045
, 百拇医药
文章编号：1006-1959(2018)11-0140-02
Application and Safety Analysis of Herba Leonurus Injection Combined with Gedan and Hemabate in Bleeding after Caesarean Section of Placenta Praevia
JIANG Hong-mei
(Department of Obstetrics and Gynecology，Subject Two，Jiamusi Central Hospital，Jiamusi 154002，Heilongjiang，China)
Abstract：Objective To analyze the efficacy and safety of Herba leonurus injection combined with Gedan and Hemabate in bleeding after caesarean section of placenta praevia.Methods 60 cases of cesarean section due to placenta praevia in our hospital were randomly divided into two groups(30 cases each).The control group was treated with Herba leonurus injection combined with Hemabate，and the observation group was treated with Gedan on the basis of the control group.Observed the significant hemostatic efficacy，postoperative adverse reactions，bleeding，postoperative complications，uterine involution rate，postoperative Hb，RB levels，and neonatal outcomes. Results There was no significant difference between the two groups in hemostatic efficiency，postoperative adverse reaction and neonatal outcome (P>0.05).The intraoperative and postoperative bleeding and the incidence of complications in the observation group were lower than those in the control group.The rate of uterine recurrence and postoperative Hb and RBC were higher than those in the control group，the difference was statistically significant(P<0.05).Conclusion The effect of Herba leonurus injection combined with Gedan and Hemabate in the treatment of bleeding after caesarean section of placenta praevia was effective，the complications were reduced，and there was no serious adverse reaction.The parturient recovered well after operation.
Key words：Herba leonurus injection；Gedan；Hemabate；Placenta praevia；Cesarean section bleeding
前置胎盤(placenta praevia)是临床妊娠期严重的并发症，主要表现为孕妇在妊娠中、晚期出现不同程度阴道出血，严重威胁母婴健康安全[1]。临床对于前置胎盘患者通常采用剖宫产术分娩，但是术后容易发生大出血，严重时甚至出现休克。为了遵循减少出血量、避免子宫切除、提高手术安全性的原则[2]，选取我院因前置胎盘行剖宫产术的60例产妇临床资料进行研究，现报告如下。
1资料与方法, 百拇医药(蒋红梅)
关键词：益母草注射液；格丹；欣母沛；前置胎盘；剖宫产出血
中图分类号：R714.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.045
, 百拇医药
文章编号：1006-1959(2018)11-0140-02
Application and Safety Analysis of Herba Leonurus Injection Combined with Gedan and Hemabate in Bleeding after Caesarean Section of Placenta Praevia
JIANG Hong-mei
(Department of Obstetrics and Gynecology，Subject Two，Jiamusi Central Hospital，Jiamusi 154002，Heilongjiang，China)
Abstract：Objective To analyze the efficacy and safety of Herba leonurus injection combined with Gedan and Hemabate in bleeding after caesarean section of placenta praevia.Methods 60 cases of cesarean section due to placenta praevia in our hospital were randomly divided into two groups(30 cases each).The control group was treated with Herba leonurus injection combined with Hemabate，and the observation group was treated with Gedan on the basis of the control group.Observed the significant hemostatic efficacy，postoperative adverse reactions，bleeding，postoperative complications，uterine involution rate，postoperative Hb，RB levels，and neonatal outcomes. Results There was no significant difference between the two groups in hemostatic efficiency，postoperative adverse reaction and neonatal outcome (P>0.05).The intraoperative and postoperative bleeding and the incidence of complications in the observation group were lower than those in the control group.The rate of uterine recurrence and postoperative Hb and RBC were higher than those in the control group，the difference was statistically significant(P<0.05).Conclusion The effect of Herba leonurus injection combined with Gedan and Hemabate in the treatment of bleeding after caesarean section of placenta praevia was effective，the complications were reduced，and there was no serious adverse reaction.The parturient recovered well after operation.
Key words：Herba leonurus injection；Gedan；Hemabate；Placenta praevia；Cesarean section bleeding
前置胎盤(placenta praevia)是临床妊娠期严重的并发症，主要表现为孕妇在妊娠中、晚期出现不同程度阴道出血，严重威胁母婴健康安全[1]。临床对于前置胎盘患者通常采用剖宫产术分娩，但是术后容易发生大出血，严重时甚至出现休克。为了遵循减少出血量、避免子宫切除、提高手术安全性的原则[2]，选取我院因前置胎盘行剖宫产术的60例产妇临床资料进行研究，现报告如下。
1资料与方法, 百拇医药(蒋红梅)