CAJ | 학술논문

目的：对卡贝缩宫素对预防产后出血疗效进行研究，有助于选用适当的宫缩剂来减少产后出血。方法随机选取我院经阴分娩的具有产后出血高危因素的产妇，研究组（354例）（A组）胎儿前肩娩出后立即静脉滴注卡贝缩宫素100μg，对照组（403例）（B组）胎儿前肩娩出后立即静脉滴注缩宫素20IU，比较两组产后2小时以及产后24小时出血量，评价卡贝缩宫素预防产后出血的疗效。结果研究组产后2小时以及24小时出血量明显少于对照组，在治疗产后出血时，需要联合应用其它宫缩剂的比例明显少于对照组。结论相对于缩宫素，卡贝缩宫素能够有效减少产后出血量和产后出血概率。
목적：대잡패축궁소대예방산후출혈료효진행연구，유조우선용괄당적궁축제래감소산후출혈。방법수궤선취아원경음분면적구유산후출혈고위인소적산부，연구조（354례）（A조）태인전견면출후립즉정맥적주잡패축궁소100μg，대조조（403례）（B조）태인전견면출후립즉정맥적주축궁소20IU，비교량조산후2소시이급산후24소시출혈량，평개잡패축궁소예방산후출혈적료효。결과연구조산후2소시이급24소시출혈량명현소우대조조，재치료산후출혈시，수요연합응용기타궁축제적비례명현소우대조조。결론상대우축궁소，잡패축궁소능구유효감소산후출혈량화산후출혈개솔。
Objective To investigate the effectiveness of carbetocin in the prevention of postpartum hemorrhage,in order to select the appropriate uterotonics to prevent postpartum hemorrhage.Methods Select pravids having high risks of postpartum hemorrhage in our hospital at random,in the study group (354 cases) given 100ug carbetocin immediately after the delivery of the fore shoulder,but in the control group (403 cases) given 20U oxytocin at the same time,the amounts of blood loss were counted during the 2 hours and the 24hours after the delivery,thus we can find out the prevention of postpartum hemorrhage of carbetocin.Results The amounts of blood losses during the 2 hours and the 24 hours after the delivery of the study group are less than the control group’s,and when postpartum hemorrhage happened, cases in the study group less need using other uterotonics than those in the control group.Conclusion Compare with oxytocin, carbetocin can reduce the amounts of blood losses and the incidence of postpartum hemorrhage after delivery.