吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
18期
3921-3923
,共3页
欣母沛%瘢痕子宫%宫缩乏力%产后出血
訢母沛%瘢痕子宮%宮縮乏力%產後齣血
흔모패%반흔자궁%궁축핍력%산후출혈
Hemabate%Scarred uterus%Uterine atony%Postpartum hemorrhage
目的：探讨欣母沛用于瘢痕子宫阴道分娩预防产后出血的有效性、安全性。方法：选择瘢痕子宫阴道分娩的产妇90例，分为试验组（42例）与对照组（48例）。试验组在胎儿娩出后常规肌内注射缩宫素的基础上，同时应用欣母沛肌内注射；对照组则同时应用益母草针肌内注射。比较两组产后2 h及24 h出血量、产后出血发生率、药物不良反应发生率。结果：试验组与对照组的产后2 h出血量、24 h出血量、产后出血发生率比较，试验组均少于对照组，两组比较差异有统计学意义（P＜0.05）。试验组与对照组的不良反应发生率比较，差异无统计学意义（P＞0.05）。结论：欣母沛对于瘢痕子宫阴道分娩产妇发生产后出血的防治，较益母草针疗效明显，不良反应少。
目的：探討訢母沛用于瘢痕子宮陰道分娩預防產後齣血的有效性、安全性。方法：選擇瘢痕子宮陰道分娩的產婦90例，分為試驗組（42例）與對照組（48例）。試驗組在胎兒娩齣後常規肌內註射縮宮素的基礎上，同時應用訢母沛肌內註射；對照組則同時應用益母草針肌內註射。比較兩組產後2 h及24 h齣血量、產後齣血髮生率、藥物不良反應髮生率。結果：試驗組與對照組的產後2 h齣血量、24 h齣血量、產後齣血髮生率比較，試驗組均少于對照組，兩組比較差異有統計學意義（P＜0.05）。試驗組與對照組的不良反應髮生率比較，差異無統計學意義（P＞0.05）。結論：訢母沛對于瘢痕子宮陰道分娩產婦髮生產後齣血的防治，較益母草針療效明顯，不良反應少。
목적：탐토흔모패용우반흔자궁음도분면예방산후출혈적유효성、안전성。방법：선택반흔자궁음도분면적산부90례，분위시험조（42례）여대조조（48례）。시험조재태인면출후상규기내주사축궁소적기출상，동시응용흔모패기내주사；대조조칙동시응용익모초침기내주사。비교량조산후2 h급24 h출혈량、산후출혈발생솔、약물불량반응발생솔。결과：시험조여대조조적산후2 h출혈량、24 h출혈량、산후출혈발생솔비교，시험조균소우대조조，량조비교차이유통계학의의（P＜0.05）。시험조여대조조적불량반응발생솔비교，차이무통계학의의（P＞0.05）。결론：흔모패대우반흔자궁음도분면산부발생산후출혈적방치，교익모초침료효명현，불량반응소。
Objective Observe the validity and security of Hemabate on the prevention of postpartum hemorrhage for secondary pregnancy of women with scarred uterus by vaginal delivery.Methods90 cases of women with scarred uterus choose vaginal delivery on the secondary pregnancy were randomly divided into experimental group(42 cases) and control group(48 cases).In the experimental group,on the basis ofconventional intramuscular injection of oxytocin after the delivery of baby,women were given the intramuscular injection Hemabate simultaneously.While in the control group,women were given intramuscular injection Leonurus and oxytocin simultaneously.Compare the incidence of postpartum hemorrhage,the amount of postpartum bleeding in the first 2 and 24 hours and the adverse effects rate between the experimental group and the control group.ResultsCmparing the experimental group with the control group in the incidence of postpartum hemorrhage and the amount of postpartum bleeding in thefirst 2 and 24 hours,the experimental group is less than the control group with statistical meanings(P<0.05).Comparing the adverse effects rate between the control group and the experimental group,there was no statistically significant difference(P>0.05).ConclusionHemabate has a better clinical efficacy and less side effect than the Leonurus on the prevention and treatment of postpartum hemorrhage for the women with scarred uterus choose vaginal delivery.
