摘要
目的探讨元胡止痛滴丸联合间苯三酚在顺产后宫缩痛中的应用效果。方法选取2021年7月至2023年3月赣州市赣县区人民医院收治的80例顺产后宫缩痛产妇,按随机数字表法分为两组,各40例。对照组予以常规治疗,观察组加用元胡止痛滴丸联合间苯三酚治疗,持续治疗2~3 d。比较两组临床疗效、疼痛缓解情况、疼痛发作情况、阴道流血情况及不良反应情况。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组产后24 h、产后48 h时视觉模拟评分(VAS)[(2.82±0.34)分、(1.23±0.25)分]低于对照组[(3.18±0.45)分、(1.78±0.31)分],差异有统计学意义(P<0.05);观察组宫缩痛持续时间[(0.35±0.08)h/次]短于对照组[(0.47±0.11)h/次],发作次数[(1.15±0.26)次/天]少于对照组[(1.68±0.35)次/天],差异有统计学意义(P<0.05);两组阴道流血量、不良反应相比,均差异无统计学意义(P>0.05)。结论元胡止痛滴丸联合间苯三酚可提高顺产后宫缩痛产妇镇痛效果,减轻宫缩痛,促进产后康复,且不会增加产后出血量,安全可靠。
Objective To investigate the application effect of yuanhu zhitong dropping pills combined with phloroglucinol in uterine contractions pain after spontaneous labor.Methods From July 2021 to March 2023,80 women with uterine contractions pain were selected and divided into two groups according to the random number table method,with 40 cases in each group.The control group was treated with routine treatment,while the observation group was treated with yuanhu zhitong dropping pills combined with phloroglucinol for 2-3 d.The clinical efficacy,pain relief,pain attack,vaginal bleeding and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores at 24 and 48 hours after delivery in the observation group[(2.82±0.34)points,(1.23±0.25)points]were lower than those in the control group[(3.18±0.45)points,(1.78±0.31)points],and the differences were statistically significant(P<0.05).The duration of contractions in the observation group[(0.35±0.08)h/time]was shorter than that in the control group[(0.47±0.11)h/time],and the frequency of contractions[(1.15±0.26)times/d]was less than that in the control group[(1.68±0.35)times/d],and the differences were statistically significant(P<0.05).There were no significant difference in vaginal bleeding volume and adverse reactions between the two groups(P>0.05).Conclusion Yuanhu zhitong dropping pills combined with phloroglucinol can improve the analgesic effect of puerpera with uterine contraction pain after spontaneous labor,reduce uterine contraction pain,promote postpartum rehabilitation,and not increase postpartum bleeding,which is safe and reliable.
作者
刘玉华
罗小慧
陈晴梅
LIU Yuhua;LUO Xiaohui;CHEN Qingmei(Ganxian District People's Hospital of Ganzhou,Ganzhou Jiangxi 341100,China)
出处
《药品评价》
CAS
2023年第5期592-594,共3页
Drug Evaluation
基金
赣州市卫生健康委员会市级科研计划项目(2022-2-151)。
关键词
镇痛
产科
分娩疼痛
子宫收缩
元胡止痛滴丸
间苯三酚
不良反应
Analgesia,obstetrical
Labor pain
Uterine contraction
Yuanhu zhitong dropping pills
Phloroglucinol
Adverse reactions
作者简介
刘玉华,本科,副主任医师。研究方向:中西医结合妇产科临床。E-mail:liuyuhua202112@163.com。
