|
|
|
| Clinical effect of ovale forceps combined with Chanhou Zhuyu Capsules to prevent late postpartum hemorrhage |
| MA Jing |
| Department of Obstetrics, Renxian Hospital of Hebei Province, Hebei Province, Renxian 055150, China |
|
|
|
Abstract Objective To explore the clinical effect of ovale forceps combined with Chanhou Zhuyu Capsules to prevent late postpartum hemorrhage. Methods From March 2016 to March 2019, 90 cases of caesarean section and spontaneous delivery women with decidual tissue residue in the uterine cavity and placenta examined were selected as the research objects. They were divided into the observation group and the control group according to random number table method, 45 cases in each group. The control group was treated with Chanhou Zhuyu Capsules orally, while the observation group was given oval forceps for clamping and clearing residual decidual tissue on the basis of the control group. The incidence rate of late postpartum hemorrhage, the amount of haemorrhagic lochia, the duration of haemorrhagic lochia, the height of uterine floor and the incidence of adverse reactions were compared between the two groups. Results The incidence rate of late postpartum hemorrhage of the observation group was lower than that of the control group, the difference was statistically significant (P < 0.05). The amount of haemorrhagic lochia in the observation group was less than that in the control group, and the duration of haemorrhagic lochia in the observation group was shorter than that in the control group, the differences were statistically significant (P < 0.05). The uterine floor height of the two groups at 7 d after treatment was lower than that at 4 d after treatment, and the uterine floor height of the observation group at 4 and 7 d after treatment was lower than those of the control group, the differences were statistically significant (P < 0.05). There was no statistically significant difference in the total incidence rate of adverse reactions between the two groups (P > 0.05). Conclusion Oval forceps for clamping and clearing residual decidual tissue combined with Chanhou Zhuyu Capsules to prevent late postpartum hemorrhage has a significant clinical effect, which can lower the incidence rate of late postpartum hemorrhage, reduce the bloody lochia, and shorten the duration of bloody lochia, promote postpartum recovery, and do not increase adverse reactions.
|
|
|
|
|
|
[1] 翁冰贵，林碧芳.产后康复按摩对产妇晚期出血的影响[J].临床合理用药杂志，2017，10（11）：138-139.
[2] 刘桂英.胎盘残留致晚期产后出血的临床研究[J].吉林医学，2017，38（1）：59-61.
[3] 谢幸，孔北华，段涛.妇产科学[M].9版.北京：人民卫生出版社，2018：221-222.
[4] 陈利.有齿卵圆钳钳夹宫腔减少剖宫产术后出血的临床观察[J].当代医学，2017，23（35）：138-139.
[5] 张玉珍.中医妇科学[M].7版.北京：中国中医药出版社，2002：288-291.
[6] 徐洪洁.大剂量雌激素用于72例剖宫产术后晚期产后出血的临床效果观察[J].航空航天医学杂志，2017，28（8）：997-999.
[7] 谢蓉蓉，吴柏群.益母绝露汤治疗剖宫产后恶露不绝患者40例[J].中国中医药科技，2017，24（5）：665-666.
[8] 谢幸，苟文丽.妇产科学[M].8版.北京：人民卫生出版社，2013：228-229.
[9] 王瑞芳，田晓予.益宫散联合催产素治疗晚期产后出血疗效分析[J].陕西中医，2018，39（8）：1060-1062.
[10] 朱方玉，漆洪波.ACOG实践简报“产后出血（2017版）”解读[J].中国实用妇科与产科杂志，2018，34（6）：623-627.
[11] 陈锰，刘兴会.2017年美国妇产科医师学会《产后出血实践公告》解读[J].实用妇产科杂志，2018， 34（1）：19-21.
[12] 曾桢，孙笑.晚期产后出血的诊疗现状[J].中华围产医学杂志，2017，20（2）：143-145.
[13] 李春香，宋建平，姚炜，等.产后复旧汤联合针灸治疗晚期产后出血50例[J].浙江中医杂志，2017，52（7）：507.
[14] 王永淑，韩红艳，关晓琳.产后逐瘀胶囊联合缩宫素预防剖宫产产后出血临床研究[J].陕西中医，2019，40（1）：15-17.
[15] 李敬.缩宫素联合产后逐瘀胶囊治疗剖宫产术后出血患者的临床疗效及其对超声指标的影响[J].中国药物经济学，2018，13（6）：66-68.
[16] 艾冬娥.米非司酮联合产后逐瘀胶囊治疗药流不全的临床观察[J].医学信息，2017，30（9）：83-84.
[17] 仝海韬，崔志华.产后逐瘀胶囊对人工流产术后康复的影响[J].长春中医药大学学报，2015，31（4）：812-814.
[18] 马霞.当归不同部位的化学成分与补血作用研究[D].兰州：甘肃中医药大学，2018.
[19] 王娜.产后逐瘀胶囊治疗剖宫产术后出血的疗效及对子宫血流动力学的影响[J].中国药业，2016，25（21）：46-48.
[20] 吴福林，董庆海，王涵，等.炮姜的药理药化及其临床研究进展[J].特产研究，2018，40（4）：104-108.
[21] 邱洪梅，林金凤，项金晶，等.卡前列素氨丁三醇不同应用时机对宫缩乏力性产后出血高危孕产妇预后的影响[J].中国医药科学，2018，8（14）：121-123. |
|
|
|
