| 摘要: |
| ［摘要］ 目的 观察穴位注射缩宫素预防产后出血的效果。方法 选择2019年2月至2020年10月于贵港市中医医院分娩且存在子宫收缩乏力高危因素的孕妇150例，采用随机数字表法分为观察组和对照组，每组75例。在分娩的第三产程，观察组于合谷穴予缩宫素注射5 U；对照组予肌肉注射缩宫素20 U。比较两组产后出血量、血红蛋白、红细胞计数水平，以及子宫收缩乏力和产后出血发生率。结果 观察组产后2 h、24 h的出血量均少于对照组，差异有统计学意义（P<0.05）。观察组产后24 h的血红蛋白、红细胞计数高于对照组，差异有统计学意义（P<0.05）。观察组子宫收缩乏力和宫缩乏力性产后出血的发生率均低于对照组，差异有统计学意义（12.00% vs 25.33%，5.33% vs 16.00%；P<0.05）。结论 采用合谷穴注射缩宫素可以有效增强产妇产后宫缩力度，可有效预防宫缩乏力性产后出血的发生。 |
| 关键词: 缩宫素 穴位注射 宫缩乏力 产后出血 |
| DOI：10.3969/j.issn.1674-3806.2022.08.17 |
| 分类号:R 714.7 |
| 基金项目:贵港市科学研究与技术开发项目（编号：贵科攻2000006） |
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| Observation on the effect of acupoint injection of oxytocin on preventing postpartum hemorrhage |
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YANG Jin-fei, PAN Ya-jing
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Department of Obstetrics and Gynecology, Guigang Hospital of Traditional Chinese Medicine, Guangxi 537100, China
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| Abstract: |
| ［Abstract］ Objective To observe the effect of acupoint injection of oxytocin on preventing postpartum hemorrhage. Methods One hundred and fifty pregnant women with high risk factors of uterine inertia who gave birth in Guigang Hospital of Traditional Chinese Medicine from February 2019 to October 2020 were selected and divided into an observation group and a control group by random number table method, with 75 cases in each group. In the third stage of labor, the observation group was injected with 5 U of oxytocin at Hegu point, and the control group was given intramuscular injection of 20 U of oxytocin. The volume of postpartum hemorrhage, the levels of hemoglobin and red blood cell count, and the incidence rates of uterine inertia and postpartum hemorrhage were compared between the two groups. Results The bleeding volume in the observation group was less than that in the control group 2 hours and 24 hours after delivery, and the difference was statistically significant(P<0.05). The levels of hemoglobin and red blood cell count in the observation group were higher than those in the control group 24 hours after delivery, and the differences were statistically significant(P<0.05). The incidence rates of uterine inertia and postpartum hemorrhage caused by uterine inertia in the observation group were lower than those in the control group, and the differences were statistically significant(12.00% vs 25.33%, 5.33% vs 16.00%; P<0.05). Conclusion The injection of oxytocin at Hegu point can effectively enhance the strength of postpartum uterine contractions, and can effectively prevent the occurrence of postpartum hemorrhage caused by uterine inertia. |
| Key words: Oxytocin Acupoint injection Uterine inertia Postpartum hemorrhage |
