中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
4期
533-535
,共3页
出血,产后%前置胎盘%卡前列素氨丁三醇
齣血,產後%前置胎盤%卡前列素氨丁三醇
출혈,산후%전치태반%잡전렬소안정삼순
Hemorrhage,postpartum%Placenta previa%Carboprost tromethamine
目的 观察卡前列素氨丁三醇(欣母沛)联合改良式补丁缝合术在前置胎盘产后出血中的疗效.方法 将62例前置胎盘患者随机分为对照组(30例)和治疗组(32例).对照组采用欣母沛,治疗组采用欣母沛联合改良式补丁缝合术预防产后出血.比较两组术中、产后2h、产后24h出血量及血红蛋白改变情况.结果 治疗组较对照组出血量术中[(321.9 ±67.8)ml与(435.9±83.3) ml]及产后2 h[(417.7±68.0)ml与(539.6 ±70.4) ml]、24h(485.3 ±68.5)ml与(621.0±81.3)ml]均减少(t=5.926、6.938、7.133,均P ＜0.05)；治疗组血红蛋白产前产后无明显下降,血红蛋白变化较对照组[(5.0±6.5)g/L与(-4.0±6.8)g/L]差异有统计学意义(t=-3.662,P＜0.05).结论 欣母沛联合改良式补丁缝合术能更有效地预防前置胎盘产后出血.
目的 觀察卡前列素氨丁三醇(訢母沛)聯閤改良式補丁縫閤術在前置胎盤產後齣血中的療效.方法 將62例前置胎盤患者隨機分為對照組(30例)和治療組(32例).對照組採用訢母沛,治療組採用訢母沛聯閤改良式補丁縫閤術預防產後齣血.比較兩組術中、產後2h、產後24h齣血量及血紅蛋白改變情況.結果 治療組較對照組齣血量術中[(321.9 ±67.8)ml與(435.9±83.3) ml]及產後2 h[(417.7±68.0)ml與(539.6 ±70.4) ml]、24h(485.3 ±68.5)ml與(621.0±81.3)ml]均減少(t=5.926、6.938、7.133,均P ＜0.05)；治療組血紅蛋白產前產後無明顯下降,血紅蛋白變化較對照組[(5.0±6.5)g/L與(-4.0±6.8)g/L]差異有統計學意義(t=-3.662,P＜0.05).結論 訢母沛聯閤改良式補丁縫閤術能更有效地預防前置胎盤產後齣血.
목적 관찰잡전렬소안정삼순(흔모패)연합개량식보정봉합술재전치태반산후출혈중적료효.방법 장62례전치태반환자수궤분위대조조(30례)화치료조(32례).대조조채용흔모패,치료조채용흔모패연합개량식보정봉합술예방산후출혈.비교량조술중、산후2h、산후24h출혈량급혈홍단백개변정황.결과 치료조교대조조출혈량술중[(321.9 ±67.8)ml여(435.9±83.3) ml]급산후2 h[(417.7±68.0)ml여(539.6 ±70.4) ml]、24h(485.3 ±68.5)ml여(621.0±81.3)ml]균감소(t=5.926、6.938、7.133,균P ＜0.05)；치료조혈홍단백산전산후무명현하강,혈홍단백변화교대조조[(5.0±6.5)g/L여(-4.0±6.8)g/L]차이유통계학의의(t=-3.662,P＜0.05).결론 흔모패연합개량식보정봉합술능경유효지예방전치태반산후출혈.
Objective To observe the effect of carboprost tromethamine(hemabate) combined with modified patch suture in placenta previa postpartum hemorrhage.Methods 62 patients with placenta previa were divided into the control group (3 0 cases) and treatment group (3 2 cases).The control group was treated with hemabate,and the treatment group was treated with hemabate combined with modified patch suture.The two groups of intraoperative,postpartum 2 hours,24 hours postpartum were compared in bleeding volume and hemoglobin changes.Results The intraoperative bleeding volume [(321.9 ± 67.8) ml vs (435.9 ± 83.3) ml] and 2h,24h postpartum bleeding volume [(417.7±68.0)ml vs (539.6 ±70.4)ml and (485.3 ±68.5)ml vs (621.0±81.3)ml]of the treatment group were significant less than that of the control group(t =5.926,6.938,7.133,all P ＜ 0.05).Significant difference in changes of hemoglobin level was also observed between the two groups,though postpartum level was not significantly reduced in the treatment group compared with the control group [(5.0 ± 6.5) g/L vs (-4.0 ± 6.8) g/L] (t =-3.662,P ＜ 0.05).Conclusion Hemabate combined with modified patch suture can be more effective in the prevention of postpartum haemorrhage in placenta previa.
