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复方生化汤加减联合缩宫素治疗产后胎盘胎膜残留的效果

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目的:探究复方生化汤加减联合缩宫素治疗产后胎盘胎膜残留的效果。方法:选取 2022 年 1 月—2023 年 12月三明市第一医院收治的 106 例产后胎盘膜残留产妇作为研究对象,采用随机数表法将其分为观察组和对照组,每组各 53例。产后 2 h后,对照组接受缩宫素治疗,观察组接受复方生化汤联合缩宫素治疗。比较两组临床疗效、子宫复旧情况、性激素水平变化,并记录发生的不良反应情况。结果:观察组总有效率显著高于对照组,差异有统计学意义(P<0。05);治疗后,两组子宫三径、子宫残留物面积均显著降低,且观察组显著低于对照组,差异有统计学意义(P<0。05);治疗后,观察组子宫底下降速度显著高于对照组,差异有统计学意义(P<0。05);治疗后,观察组人绒毛促性腺激素(HCG)水平显著低于对照组,差异有统计学意义(P<0。05);治疗后,血红蛋白(HGB)水平显著高于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:复方生化汤加减联合缩宫素治疗产后胎盘胎膜残留疗效显著,能有效促进患者子宫复旧,有利于促进血HCG和HGB水平的恢复,且临床安全性良好。
Effect of Modified Fufang Shenghua Decoction Combined with Oxytocin in the Treatment of Postpartum Placenta and Fetal Membrane Residue
Objective:To explore the effect of modified Fufang Shenghua Decoction combined with oxytocin in the treatment of postpartum placenta and fetal membrane residue.Method:106 postpartum women with residual placental membrane admitted to the First Hospital of Sanming City from January 2022 to December 2023 were selected as the study objects and divided into the control group and the observation group using the random number table method,with 53 cases in each group.Two hours after delivery,postpartum women in the control group were treated with oxytocin and those in the observation group were treated with modified Fufang Shenghua Decoction combined with oxytocin.Clinical efficacy,uterine involution,changes in sex hormone levels,and incidence of adverse reactions were compared between the two groups.Result:The total clinical response rate in the observation group was higher that in control group,with a statistically significant difference(P<0.05).After treatment,three uterine measurements and area of uterine residues in both groups were significantly reduced,and the observation group was the lower the control group,with statistically significant differences(P<0.05)After treatment,the rate of uterine floor descent in the observation group was higher that in control group,with a statistically significant difference(P<0.05).After treatment,human chorionic gonadotropin(HCG)in the observation group was lower that in control group,with a statistically significant difference(P<0.05).After treatment.Hemoglobin(HGB)level in the observation group was higher that in control group,with a statistically significant difference(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Modified Fufang Shenghua Decoction combined with oxytocin is significantly effective in the treatment of postpartum placenta and fetal membrane residue,which can effectively promote uterine involution and beneficial for promoting the recovery of blood HCG and HGB levels,with good safety.

Postpartum placenta and fetal membrane residueFufang Shenghua DecoctionOxytocinUterine involution

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三明市第一医院 福建 三明 365000

产后胎盘胎膜残留 复方生化汤 缩宫素 子宫复旧

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(36)