中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
2期
6-7,8
,共3页
陈圣莲%王敏%石恒%黄桂珍
陳聖蓮%王敏%石恆%黃桂珍
진골련%왕민%석항%황계진
剖宫产%胎盘附着面%缩宫素
剖宮產%胎盤附著麵%縮宮素
부궁산%태반부착면%축궁소
Casarean section%The placenta attachment surface%Oxytocin
目的：探讨剖宫产术中于胎盘附着面注射缩宫素的临床疗效。方法：采用随机对照试验，分析110例剖宫产术患者，观察组55例，于胎儿娩出后静滴缩宫素10 U，胎盘附着面子宫壁注射缩宫素10 U；对照组55例，于胎儿娩出后静滴缩宫素10 U，于子宫壁非胎盘附着面注射缩宫素10 U，余操作程序同观察组。记录自胎儿娩出至子宫壁缝合所需时间(T1)、此时间段内出血量(V1)，记录子宫注射缩宫素毕至胎盘娩出时间(T2)、术后24 h恶露量(V2)。用统计学软件SPSS 18.0进行统计学分析。结果：观察组与对照组比较：在T1、T2上差异无统计学意义(P>0.05)；在V1、V2上差异有统计学意义(P<0.05)，观察组优于对照组。结论：剖宫产术中在静脉应用缩宫素的基础上，于胎盘子宫附着面注射缩宫素可减少术中出血及术后出血量。
目的：探討剖宮產術中于胎盤附著麵註射縮宮素的臨床療效。方法：採用隨機對照試驗，分析110例剖宮產術患者，觀察組55例，于胎兒娩齣後靜滴縮宮素10 U，胎盤附著麵子宮壁註射縮宮素10 U；對照組55例，于胎兒娩齣後靜滴縮宮素10 U，于子宮壁非胎盤附著麵註射縮宮素10 U，餘操作程序同觀察組。記錄自胎兒娩齣至子宮壁縫閤所需時間(T1)、此時間段內齣血量(V1)，記錄子宮註射縮宮素畢至胎盤娩齣時間(T2)、術後24 h噁露量(V2)。用統計學軟件SPSS 18.0進行統計學分析。結果：觀察組與對照組比較：在T1、T2上差異無統計學意義(P>0.05)；在V1、V2上差異有統計學意義(P<0.05)，觀察組優于對照組。結論：剖宮產術中在靜脈應用縮宮素的基礎上，于胎盤子宮附著麵註射縮宮素可減少術中齣血及術後齣血量。
목적：탐토부궁산술중우태반부착면주사축궁소적림상료효。방법：채용수궤대조시험，분석110례부궁산술환자，관찰조55례，우태인면출후정적축궁소10 U，태반부착면자궁벽주사축궁소10 U；대조조55례，우태인면출후정적축궁소10 U，우자궁벽비태반부착면주사축궁소10 U，여조작정서동관찰조。기록자태인면출지자궁벽봉합소수시간(T1)、차시간단내출혈량(V1)，기록자궁주사축궁소필지태반면출시간(T2)、술후24 h악로량(V2)。용통계학연건SPSS 18.0진행통계학분석。결과：관찰조여대조조비교：재T1、T2상차이무통계학의의(P>0.05)；재V1、V2상차이유통계학의의(P<0.05)，관찰조우우대조조。결론：부궁산술중재정맥응용축궁소적기출상，우태반자궁부착면주사축궁소가감소술중출혈급술후출혈량。
Objective:To evaluate the effect of the oxytocin intramuscular injection at the placenta attachment surface during cesarean section. Method:Randomly controlled clinical trial was adopted which contained 110 cases performed cesarean section.All the cases were injected oxytocin 10 U by intravenous route after the delivery of the baby.The observation group (55 cases) were performed oxytocin 10 U intramuscular injection at the placenta attachment surface,while the control group (55 cases) were injected oxytocin 10 U at the uterine wall but not at the placenta attachment site.The other procedures were the same as the observation group.The time from the baby delivery to the close of the uterine incision(T1),the blood loss during this period(V1),the time from the end up of oxytocin injection at the uterine wall to the placenta delivery(T2),and the postoperative blood loss within 24 hours(V2) were recorded.The data of the test was analyzed with the software SPSS 18.0.Result:The observation group VS the control group:the difference of T1 was no significant difference statistically(P>0.05), the difference of T2 was also no significant difference statistically(P>0.05),the difference of blood loss was statistically significant(P<0.05) both during operation and within postoperative 24 hours.The data of the observation group was better.Conclusion:At the cesarean section,with the basic intravenous injection oxytocin,the blood loss during operation and postoperative,and the extra hemostasis procedure were decreased by the way of intramuscular injection of oxyctocin at the placenta attachment surface.
