CAJ | 학술논문

目的探讨卡前列素氨丁三醇预防性用于出血高风险产妇剖宫产中的效果.方法以我院2011年1月至2012年12月间收治的104例有产后出血高危因素的产妇为研究对象,随机分为观察组与对照组,对照组使用缩宫素预防产后出血,观察组增加使用卡前列素氨丁三醇,比较两组产妇产后出血发生率、出血量、术前术后血红蛋白和红细胞计数下降量和用药前后患者生命体征监测指标之间的差异.结果观察组患者产后出血发生率低于对照组,产后出血量、术前术后血红蛋白和红细胞计数下降量少于对照组,其差异有统计学意义(P＜0.05).两组产妇用药前后患者生命体征监测指标差异无统计学意义(P＞0.05).结论在出血高风险产妇剖宫产中使用卡前列素氨丁三醇能够有效降低产妇产后出血发生率,是一种安全、有效的预防产后出血的治疗方案.
목적 탐토잡전렬소안정삼순예방성용우출혈고풍험산부부궁산중적효과.방법 이아원2011년1월지2012년12월간수치적104례유산후출혈고위인소적산부위연구대상,수궤분위관찰조여대조조,대조조사용축궁소예방산후출혈,관찰조증가사용잡전렬소안정삼순,비교량조산부산후출혈발생솔、출혈량、술전술후혈홍단백화홍세포계수하강량화용약전후환자생명체정감측지표지간적차이.결과 관찰조환자산후출혈발생솔저우대조조,산후출혈량、술전술후혈홍단백화홍세포계수하강량소우대조조,기차이유통계학의의(P＜0.05).량조산부용약전후환자생명체정감측지표차이무통계학의의(P＞0.05).결론 재출혈고풍험산부부궁산중사용잡전렬소안정삼순능구유효강저산부산후출혈발생솔,시일충안전、유효적예방산후출혈적치료방안.
Objective To analysis the effect of carboprost rromethamine injection in the prevention of postpartum hemorrhage among the high risk maternal.Methods 104 maternal with the high risk of postpartum hemorrhage were divided into objective group and control group.The control group was used oxytocin injection and the objective group was added carboprost rromethamine injection.The difference of incidence of postpartum hemorrhage,the amount of postpartum bleeding,the hematology related indicators and the monitoring indicators before and after the drug uesed between the two groups were compared.Results The incidence of postpartum hemorrhage of the objective group was lower than the control group.The amount of postpartum bleeding and the hematology related indicators were less than the control group.There was not significantly different in the the monitoring indicators before and after the drug uesed between the two groups.Conclusions It would get a satisfactory effect to add the carboprost rromethamine injection in the prevention of postpartum hemorrhage among the high risk maternal.