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| Clinical study of leonurus injection and carprostol tromethamine combined with postpartum hemorrhage prediction score for preventing postpartum hemorrhage |
| West Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province,430050 |
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Abstract Objective: To explore the clinical effect of leonurus injection and carprostol tromethamine combined with postpartum hemorrhage prediction score for preventing postpartum hemorrhag. Methods: 128 parturients with cesarean section were randomly divided into the control group and the research group (64 cases in each group) from April 2017 to June 2018. The parturients in the control group were given routine treatment with carboprost tromethamine and leonurus injection, and the parturients in the study group were given different treatment schemes of prostaglandin tromethamine and leonurus injection according to the evaluation results by postpartum hemorrhage prediction score table. The incidence of complications, the status of uterine contractions, the level of Hb (hemoglobin), the amount of bleeding during operation, and the therapeutic effect of the parturients were observed and compared between the two groups. Results：The total incidence of complications of the parturients in the study group was 14.1%, which had no significant difference from that (12.5%) of the parturients in the control group (P>0.05). The degree of uterine contractions of the parturients in the study group was significant better than that of the parturients in the control group on the 3rd and 7th day after delivery (P<0.05). There was no significant difference in the Hb level of the parturients between the two groups before delivery (P>0.05), but the Hb level of the parturients in the study group on the 1st day after delivery was significant higher than that of the parturients in the control group (P<0.05). The amount of bleeding during delivery, 2 hours or 24 hours after delivery of the parturients in the study group was significant lower than that of the parturients in the control group (P<0.05). The effective rates of the parturients in the study group was 98.4%, which was significant higher than that (89.1%) of the parturients in the control group (P<0.05). Conclusion: Carboprost tromethamine and leonurus injection used for preventing postpartum hemorrhage according to the evaluation results by postpartum hemorrhage prediction score table can effectively reduce the rate of postpartum hemorrhage and shorten the recovery time of puerpera, so it is worthy of popularization and application.
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