CAJ | 학술논문

目的探讨卡贝缩宫素预防宫缩乏力性产后出血的临床疗效.方法随机选取我院200例自然妊娠孕妇,分为实验组和对照组,各100例,在胎儿娩出时,实验组使用卡贝缩官素,对照组使用缩宫素,观察两组产妇出血及Hb浓度变化情况.结果实验组术中出血量、术后24小时出血量均明显少于对照组,产后出血发生率分别为2.0％和7.0％,结果相比均具有统计学意义(P＜0.05).同时,实验组术后24小时Hb下降幅度明显小于对照组,结果有统计学意义(P＜0.05).结论卡贝缩宫素能有效降低产妇产后出血率,疗效显著,明显优于其他宫缩剂,值得临床推广.
목적 탐토잡패축궁소예방궁축핍력성산후출혈적림상료효.방법 수궤선취아원200례자연임신잉부,분위실험조화대조조,각100례,재태인면출시,실험조사용잡패축관소,대조조사용축궁소,관찰량조산부출혈급Hb농도변화정황.결과 실험조술중출혈량、술후24소시출혈량균명현소우대조조,산후출혈발생솔분별위2.0％화7.0％,결과상비균구유통계학의의(P＜0.05).동시,실험조술후24소시Hb하강폭도명현소우대조조,결과유통계학의의(P＜0.05).결론 잡패축궁소능유효강저산부산후출혈솔,료효현저,명현우우기타궁축제,치득림상추엄.
Objective To investigate the clinical efficacy of carbetocin in the prevention of postpartum hemorrhage caused by uterine inertia.Methods 200 women with spontaneous pregnancy were randomly divided into a study group and a control group,100 for each group.As the baby was delivered,the study group received carbetocin while the control group received oxytocin.Maternal bleeding and changes in Hh concentration were observed in both groups.Resalts Intraoperative bleeding volume and 24-hour postoperative bleeding volume were significantly smaller in the study group than in the control group; the incidence rate of postpartum hemorrhage was 2.0％ and 7.0％,respectively,with a statistical significance between the two groups (P＜0.05).Meanwhile,the declined level of Hb was significantly less in the study group than in the control group,with a statistical significance (P＜0.05).Conclusions Carbetocin can effectively reduce postpartum hemorrhage with good efficacy and is much better than any other tocolytic agents.It is worth popularizing.