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1、不同缩宫药物联合应用预防前置胎盘产后出血临床疗效观察【摘要】目的:分析不同缩宫药物联合应用预防前置胎盘产后出血的临床疗效。方法:收集2007年2月-2012年2月本院收治的前置胎盘终止妊娠者930例,按照缩宫药物的不同将其随机分为A、B、C三组各310例,其中A组采取缩宫素联合益母草联合治疗,B组采取缩宫素联合欣母沛联合治疗,C组采取缩宫素、欣母沛、益母草三种药物联合治疗。对比三组在手术之后的出血量。结果:A组手术过程中出血量要明显少于具他两组,在中央性前置胎盘的手术类型中,A组在手术过程中的出血量明显少于C组,差异均具
2、有统计学意义(P〈0.05)。其余各组之间的出血量比较差异无统计学意义。结论:不同缩宫药物联合应用预防前置胎盘产后出血具有一定的效果。缩宫素、欣母沛、益母草的联合使用过程屮,缩宫素联合益母草治疗对前置胎盘产示出血效果较好,可在临床广泛推广。【关键词】前置胎盘;缩宫索;益母草;产后出血ClinicalEfficacyofDifferentUterineContractionDrugCombinationinPreventingPostpartumHemorrhageDuetoPlacentaPrevia/WANHai-ya
3、n,ZENGXiao-yan,HUANGDa-min.//MedicalInnovationofChina,2013,10(14):042-044[Abstract】Objective:Toanalyzeclinicalefficacyofdifferentuterinecontractiondrugcombinationinpreventingpostpartumhemorrhageduetoplacentaprevia.Method:From2007Februaryto2012Februaryinourhospita
4、lofplacentapreviaterminationofpregnancyin930columns,inaccordancewiththeoxytocindrugsofdifferentwererandomlydividedintoA,B,Cthreegroupofeach310column,310columninwhichAgrouppatientstakeoxytocincombinedwithIlerbaLeonuricombinedtherapy,groupBtakeshrinkagepalacecombin
5、edwithhemabatecombinationtherapy,groupCtakeninoxytocin,hemabate,motherwortthreedrugscombinedtherapy-Bycomparingthebleedingafteroperationanalyzingtheeffectoftherapy.Result:TheamountofbleedingintheAgrouppatientsintheoperationprocesswassignificantlylessthantheothert
6、wogroups・Astothecentralplacentapreviaoperationtype,thebleedinginAgroupwasobviouslylessthanthatofgroupC(P<0.05),whichhadobviousstatistic且1significancedifferenee.ThebleedingbetweentheBgroupsandCgroupswerenostatisticallysignificantdifference.Conclusion:Thetreatmento
7、fcombiningdifferentoxytocindrugsonpreventingpostpartumhemorrhagehascertaineffect.ThetherapyofcombiningoxytocinwithHerbaLeonurihadbettereffect,whichcanbewidelypopular!zedinclinicaltreatment.【Keywords】Placentaprevia;Oxytocin;Motherwort;PostpartumhemorrhageFirst-aut
8、horJsaddress:XingshanPeopleJsHospital,Xingshan443700,Chinadoi:10.3969/j.issn.1674-4985.2013.14.024胎盘在正常情况下附着于子宫体部的后壁、前壁或侧壁。孕28周后若胎盘附肴于子宫下段,甚至胎盘下缘达到或覆盖宫颈内口,其位置低