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Postpartum hemorrhage.产后出血
JAAPA. 2020 Apr;33(4):29-33. doi: 10.1097/01.JAA.0000657164.11635.93.
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Epidemiology, prevention and management of early postpartum hemorrhage - a systematic review.产后早期出血的流行病学、预防与管理——一项系统综述
Ginekol Pol. 2020;91(1):38-44. doi: 10.5603/GP.2020.0009.
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Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis.子宫球囊填塞治疗产后出血:系统评价和荟萃分析。
Am J Obstet Gynecol. 2020 Apr;222(4):293.e1-293.e52. doi: 10.1016/j.ajog.2019.11.1287. Epub 2020 Jan 6.
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Quantitative Blood Loss in Obstetric Hemorrhage: ACOG COMMITTEE OPINION, Number 794.产科出血的出血量估计:ACOG 委员会意见,第 794 号。
Obstet Gynecol. 2019 Dec;134(6):e150-e156. doi: 10.1097/AOG.0000000000003564.
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Evaluation of Risk-Assessment Tools for Severe Postpartum Hemorrhage in Women Undergoing Cesarean Delivery.评估行剖宫产术的产妇发生严重产后出血的风险评估工具。
Obstet Gynecol. 2019 Dec;134(6):1308-1316. doi: 10.1097/AOG.0000000000003574.
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How well do postpartum blood loss and common definitions of postpartum hemorrhage correlate with postpartum anemia and fall in hemoglobin?产后出血量和产后出血的常见定义与产后贫血及血红蛋白下降的相关性如何?
PLoS One. 2019 Aug 22;14(8):e0221216. doi: 10.1371/journal.pone.0221216. eCollection 2019.
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Postpartum hemorrhage revisited: new challenges and solutions.产后出血再探讨:新的挑战与解决方案。
Curr Opin Anaesthesiol. 2019 Jun;32(3):278-284. doi: 10.1097/ACO.0000000000000717.
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Next Generation Medical Management of Postpartum Hemorrhage.产后出血的下一代医学管理。
Curr Pharm Des. 2019;25(5):549-555. doi: 10.2174/1381612825666190320155337.
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Postpartum hemorrhage: Anesthesia management.产后出血:麻醉管理。
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Postpartum hemorrhage: early identification challenges.产后出血:早期识别的挑战。
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复方益母草胶囊联合益气消瘀汤对恶露的影响。

Effects of Fu Fang Yi Mu Cao capsules combined with Yiqi Xiaoyu decoction on lochia.

作者信息

Zhang Liqiao, Yang Chunyan, Dong Wei, Du Yaqing, Wang Ruiping

机构信息

Department of Obstetrics, Xingtai People's Hospital Xingtai 054001, Hebei, China.

Department of TCM Internal Medicine, Xingtai People's Hospital Xingtai 054001, Hebei, China.

出版信息

Am J Transl Res. 2021 Nov 15;13(11):12868-12874. eCollection 2021.

PMID:34956502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8661228/
Abstract

OBJECTIVE

To investigate the effects of Fu Fang Yi Mu Cao (FFYMC) capsules combined with Yiqi Xiaoyu (YX) decoction on persistent lochia after birth.

METHODS

In this retrospective analysis, 120 patients with lochia treated in our hospital from January 2014 to October 2020 were enrolled as study subjects. Sixty of each were randomly allocated into the study group (60 cases, treated with FFYMC capsules and YX decoction) and the control group (60 cases, treated with YX decoction). The two groups were compared in terms of efficacy, volume of lochia and changes in Traditional Chinese Medicine Syndrome Score (TCMSS) before and after intervention, and the incidence of adverse reactions.

RESULTS

(1) The total effective rate in the study group was 100.00%, which was significantly higher than that in the control group (P<0.05); (2) The difference in volume of lochia between two groups before the intervention was not statistically significant (P>0.05), and was significantly lower in the study group than in the control group at day 4 and day 7 of the intervention (P<0.05); (3) The difference in TCMSS between two groups before the treatment was not statistically significant (P>0.05). TCMSS was lower in the study group than in the control group after treatment (P<0.05); (4) The decreased height of uterine fundus in the study group was higher than that in the control group at 5 d after treatment (P<0.05); (5) The plasma viscosity in the study group was significantly lower than that in the control group (P<0.05); (6) The total incidence of adverse reactions in the study group was 8.33%, which was not significantly different from the control group which was 11.67% (P>0.05).

CONCLUSION

FFYMC capsule and YX decoction could improve the treatment effect for primiparas with lochia in terms of reducing volume of lochia and improving clinical symptoms with high safety.

摘要

目的

探讨复方益母草胶囊联合益气消瘀汤治疗产后恶露不绝的效果。

方法

本回顾性分析选取2014年1月至2020年10月在我院接受恶露治疗的120例患者作为研究对象。将其随机分为研究组(60例,采用复方益母草胶囊联合益气消瘀汤治疗)和对照组(60例,采用益气消瘀汤治疗)。比较两组的疗效、恶露量、干预前后中医证候积分(TCMSS)变化以及不良反应发生率。

结果

(1)研究组总有效率为100.00%,显著高于对照组(P<0.05);(2)干预前两组恶露量差异无统计学意义(P>0.05),干预第4天和第7天研究组恶露量显著低于对照组(P<0.05);(3)治疗前两组TCMSS差异无统计学意义(P>0.05),治疗后研究组TCMSS低于对照组(P<0.05);(4)治疗后5天研究组子宫底下降高度高于对照组(P<0.05);(5)研究组血浆黏度显著低于对照组(P<0.05);(6)研究组不良反应总发生率为8.33%,与对照组的11.67%差异无统计学意义(P>0.05)。

结论

复方益母草胶囊联合益气消瘀汤可提高初产妇恶露不绝的治疗效果,在减少恶露量、改善临床症状方面效果显著,且安全性高。