检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
19期
2703-2704
,共2页
卡前列素氨丁三醇%宫缩乏力性产后出血%预防效果
卡前列素氨丁三醇%宮縮乏力性產後齣血%預防效果
잡전렬소안정삼순%궁축핍력성산후출혈%예방효과
carboprost ammonia butyl alcohol three%uterine atony postpartum hemorrhage%prevention effect
目的：探讨卡前列素氨丁三醇对宫缩乏力性产后出血的预防效果。方法选取2012年11月至2013年11月海军总医院妇产科存在宫缩乏力性产后出血高危因素的孕妇90例为研究对象，随机将研究对象分为对照组与治疗组各45例，均给予相同的剖宫产手术，对照组孕妇分娩后给予缩宫素与米索前列醇，治疗组在分娩后给予缩宫素与卡前列素氨丁三醇，观察两组患者分娩后的出血情况。结果治疗组患者分娩后2h出血总量为（199．78±70．41）m L ，分娩后24 h出血总量为（287．12±57．09）m L ，产后出血发生率为15．6％，均明显好于对照组的（386．91±84．23）、（453．39±91．32）m L ，差异有统计学意义（ P＜0．05）。治疗结束后，治疗组患者治疗总有效率为93．3％（42/45），明显好于对照组的57．7％（26/45），差异有统计学意义（ P＜0．05）。结论对宫缩乏力性产后出血高危患者给予卡前列素氨丁三醇治疗，可以明显改善产妇的宫缩情况，降低产后出血的发生率与总出血量，具有良好的临床应用价值。
目的：探討卡前列素氨丁三醇對宮縮乏力性產後齣血的預防效果。方法選取2012年11月至2013年11月海軍總醫院婦產科存在宮縮乏力性產後齣血高危因素的孕婦90例為研究對象，隨機將研究對象分為對照組與治療組各45例，均給予相同的剖宮產手術，對照組孕婦分娩後給予縮宮素與米索前列醇，治療組在分娩後給予縮宮素與卡前列素氨丁三醇，觀察兩組患者分娩後的齣血情況。結果治療組患者分娩後2h齣血總量為（199．78±70．41）m L ，分娩後24 h齣血總量為（287．12±57．09）m L ，產後齣血髮生率為15．6％，均明顯好于對照組的（386．91±84．23）、（453．39±91．32）m L ，差異有統計學意義（ P＜0．05）。治療結束後，治療組患者治療總有效率為93．3％（42/45），明顯好于對照組的57．7％（26/45），差異有統計學意義（ P＜0．05）。結論對宮縮乏力性產後齣血高危患者給予卡前列素氨丁三醇治療，可以明顯改善產婦的宮縮情況，降低產後齣血的髮生率與總齣血量，具有良好的臨床應用價值。
목적：탐토잡전렬소안정삼순대궁축핍력성산후출혈적예방효과。방법선취2012년11월지2013년11월해군총의원부산과존재궁축핍력성산후출혈고위인소적잉부90례위연구대상，수궤장연구대상분위대조조여치료조각45례，균급여상동적부궁산수술，대조조잉부분면후급여축궁소여미색전렬순，치료조재분면후급여축궁소여잡전렬소안정삼순，관찰량조환자분면후적출혈정황。결과치료조환자분면후2h출혈총량위（199．78±70．41）m L ，분면후24 h출혈총량위（287．12±57．09）m L ，산후출혈발생솔위15．6％，균명현호우대조조적（386．91±84．23）、（453．39±91．32）m L ，차이유통계학의의（ P＜0．05）。치료결속후，치료조환자치료총유효솔위93．3％（42/45），명현호우대조조적57．7％（26/45），차이유통계학의의（ P＜0．05）。결론대궁축핍력성산후출혈고위환자급여잡전렬소안정삼순치료，가이명현개선산부적궁축정황，강저산후출혈적발생솔여총출혈량，구유량호적림상응용개치。
Objective To investigate the clinical value of carboprost ammonia butyl alcohol three on prevention postpartum hemorrhage caused by uterine inertia .Methods Ninety pregnant women compared with risk factors of postpartum hemorrhage from November 2012 to November 2013 in department of gynaecology of navy general hospi-tal were randomly divided into control group and treatment group ,45 cases in each group .All the pregnant women were given cesarean operation ,women in the control group after delivery were gave misoprostol and oxytocin ,women in the treatment group were gave noxytocin and carboprost ammonia butyl alcohol three ,status of bleeding after de-livery in both groups were observed and compared .Results In the treatment group ,the total amount of bleeding af-ter delivery 2 hours and 24 hours is were (199 .78 ± 70 .41) mL ,(287 .12 ± 57 .09) mL respectively ,which were significantly less than those of women in the control group(386 .91 ± 84 .23)mL ,(453 .39 ± 91 .32)mL ,the differences were statistically significant (P<0 .05) .The rate of effective treatment of the control group and the treatment group were 57 .7% ,93 .3% respectively ,the difference between them wa significant (P<0 .05) .Conclusion Giving carbo-prost ammonia butyl alcohol three pregnant to the women compared with risk factors of postpartum hemorrhage could significantly reduce the incidence of postpartum hemorrhage and the amount of bleeding .
