医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
10期
150-150,151
,共2页
卡前列素氨丁三醇%预防%剖宫产%产后出血
卡前列素氨丁三醇%預防%剖宮產%產後齣血
잡전렬소안정삼순%예방%부궁산%산후출혈
carboprost tromethamine%preventing%cesarean section%postpartum hemorrhage
目的：探讨剖宫产术中宫体注射卡前列素氨丁三醇预防产后出血的临床疗效。方法选取我院产科2011年10月~2013年10月住院行剖宫产分娩的产妇100例，将产妇随机分成两组，为预防产后出血，观察组术中于宫体注射缩宫素及卡前列素氨丁三醇，对照组术中仅应用缩宫素，评价二者的临床效果。结果观察组患者产后2h平均出血量为（201.3±54.1）ml，24h平均出血量为（299.7±74.6）ml，与对照组相比明显减少（P<0.01）；观察组患者中有9例发生产后出血，产后出血的发生率为18%，与对照组相比明显降低（P<0.01）。观察组中有3例输血，输血率为6%，与对照组相比降低（P<0.05）。讨论卡前列素氨丁三醇在剖宫产术中能有效降低产后出血率，减少术后出血量，安全，有效，在产后的提前预防中具有良好的临床价值。
目的：探討剖宮產術中宮體註射卡前列素氨丁三醇預防產後齣血的臨床療效。方法選取我院產科2011年10月~2013年10月住院行剖宮產分娩的產婦100例，將產婦隨機分成兩組，為預防產後齣血，觀察組術中于宮體註射縮宮素及卡前列素氨丁三醇，對照組術中僅應用縮宮素，評價二者的臨床效果。結果觀察組患者產後2h平均齣血量為（201.3±54.1）ml，24h平均齣血量為（299.7±74.6）ml，與對照組相比明顯減少（P<0.01）；觀察組患者中有9例髮生產後齣血，產後齣血的髮生率為18%，與對照組相比明顯降低（P<0.01）。觀察組中有3例輸血，輸血率為6%，與對照組相比降低（P<0.05）。討論卡前列素氨丁三醇在剖宮產術中能有效降低產後齣血率，減少術後齣血量，安全，有效，在產後的提前預防中具有良好的臨床價值。
목적：탐토부궁산술중궁체주사잡전렬소안정삼순예방산후출혈적림상료효。방법선취아원산과2011년10월~2013년10월주원행부궁산분면적산부100례，장산부수궤분성량조，위예방산후출혈，관찰조술중우궁체주사축궁소급잡전렬소안정삼순，대조조술중부응용축궁소，평개이자적림상효과。결과관찰조환자산후2h평균출혈량위（201.3±54.1）ml，24h평균출혈량위（299.7±74.6）ml，여대조조상비명현감소（P<0.01）；관찰조환자중유9례발생산후출혈，산후출혈적발생솔위18%，여대조조상비명현강저（P<0.01）。관찰조중유3례수혈，수혈솔위6%，여대조조상비강저（P<0.05）。토론잡전렬소안정삼순재부궁산술중능유효강저산후출혈솔，감소술후출혈량，안전，유효，재산후적제전예방중구유량호적림상개치。
Objective To investigate the ef icacy of carboprost tromethamine on postpartum hemorrhage in patients of cesarean section.Methods 100cases of pregnant women with indication of cesarean section in our hospital from Oct 2011 to Oct 2013 were divided into the observation group and control group,to prevate postpartum hemorrhage, patients in observation group were given Oxytocin and carboprost tromethamine,the patients in control group were given Oxytocin.The information of average 2 h and 24 h bleeding quantity of postpartum,the heincidence rate of postpartum hemorrhage and blood transfusion were col ected and compared after the therapy.Results The bleeding quantity of 2 h postpartum of control group was (335.9±57.3)ml,while that of the observation group was(201.3±54.1)ml,the dif erences were significant(P<0.01);The average decreased quantity of 24 h postpartum of control group was (421.4±73.4)ml,obviously higer than observation group.The incidence rate of postpartum hemorrhage and blood transfusion of control group was obviously higher than observation group,the dif erences were significant.Conclusion Carboprost tromethamine can obviously reduce blood loss after cesarean section.It can be recognized as a safe,ef icient and convenient method in preventing postpartum hemorrhage after cesarean section.
