临床误诊误治

目的 探究产复欣联合葆宫止血颗粒对前置胎盘剖宫产术后血性恶露持续时间及子宫复旧的影响。方法 选取2022年1月至2023年12月收治的行前置胎盘剖宫产术的产妇80例，采用随机信封法分为对照组和观察组各40例。对照组采用葆宫止血颗粒和缩宫素治疗，观察组在对照组基础上加用产复欣颗粒治疗。两组均治疗7 d后并随访42 d。比较两组患者子宫恢复情况（产后出血量、血性恶露持续时间以及恶露结束时间）、宫底恢复高度、子宫三径之和、子宫复旧效果以及不良反应发生情况。结果 观察组产后出血量少于对照组，血性恶露持续时间以及恶露结束时间均短于对照组（P<0.01）；观察组产后3 d、5 d宫底下降幅度均大于对照组（P<0.01）；观察组产后42 d子宫三径之和均小于对照组（P<0.05）；观察组患者子宫复旧效果[97.50%(39/40)]优于对照组[82.50%(33/40)]，差异有统计学意义（P<0.05）；两组产妇不良反应发生率[12.50%(5/40)] vs [7.50%(3/40)]比较差异无统计学意义（P>0.05）。结论 产复欣联合葆宫止血颗粒能够改善前置胎盘剖宫产术后产妇的产后出血情况，缩短血性恶露持续时间，促进子宫收缩，加速子宫复旧进程，且具备安全性。

Objective To investigate the effect of Chanfuxin combined with Baogong Zhixue granules on the duration of bloody lochia and uterine involution after cesarean section for placenta previa. Methods A total of 80 pregnant women with placenta previa who underwent cesarean section in our hospital from January 2022 to December 2023 were selected and divided into the control group(n=40) and the observation group(n=40) by random envelope method. The control group was treated with Baogong Zhixue granules and oxytocin, and the observation group was treated with Chanfuxin granules on the basis of the control group. Both groups were treated for 7 d and followed up for 42 d. The uterine recovery(postpartum hemorrhage, duration of bloody lochia and end time of lochia), height of fundus recovery, the sum of three uterine diameters,effect of uterine involution and adverse reactions were compared between the two groups. Results The amount of postpartum hemorrhage in the observation group was less than that in the control group, and the duration of bloodylochia and the end time of bloody lochia in the observation group were shorter than those in the control group(P<0.01). The decrease in the height of fundus recovery in the observation group was greater than that in the control group at 3 d and 5 d after delivery(P<0.01).The sum of the three uterine diameters in the observation group was lower than that in the control group at 42 d after delivery(P<0.05). The effect of uterine involution in the observation group was better than that in the control group [97.50%(39/40)vs. 82.50%(33/40)](P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups [12.50%(5/40) vs. 7.50%(3/40)](P>0.05). Conclusion Chanfuxin combined with Baogong Zhixue granules can alleviate postpartum hemorrhage in patients with placenta previa after cesarean section, shorten the duration of bloody lochia, promote uterine contraction, and accelerate the process of uterine involution, showing good safety.