中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2012年
36期
22-23
,共2页
产后出血%欣母沛%出血量
產後齣血%訢母沛%齣血量
산후출혈%흔모패%출혈량
Postpartum hemorrhage%Hemabate%Amount of blood loss
目的:探讨欣母沛在治疗子宫收缩乏力性产后出血的临床疗效.方法:选择2011年12月-2012年6月在笔者所在医院收治的产后出血产妇共96例,随机分为缩宫素组(先宫底注射缩宫素20 U,再采用5%葡萄糖液500 ml加缩宫素20 U静脉滴注治疗)与欣母沛组(注射、静滴缩宫素并联合应用欣母沛治疗)各48例,观察两组产妇产后2 h 与24 h 出血量、子宫收缩情况及用药后的不良反应.结果:欣母沛组产后2 h 与24 h 出血量分别为(191.43±56.53)ml、(296.69±55.91)ml,与缩宫素组(323.65±68.77)ml、(402.82±67.88)ml 比较差异有统计学意义(P<0.05);欣母沛组子宫收缩总有效率为93.75%,与缩宫素组子宫收缩总有效率81.25%比较差异有统计学意义(P<0.05).两组产妇在用药后不反应分别为6.3%和8.3%,比较差异无统计学意义(P>0.05).结论:欣母沛在治疗缩乏力性产后出血有显著的疗效,是简单、安全的有效方法,值得临床广泛使用.
目的:探討訢母沛在治療子宮收縮乏力性產後齣血的臨床療效.方法:選擇2011年12月-2012年6月在筆者所在醫院收治的產後齣血產婦共96例,隨機分為縮宮素組(先宮底註射縮宮素20 U,再採用5%葡萄糖液500 ml加縮宮素20 U靜脈滴註治療)與訢母沛組(註射、靜滴縮宮素併聯閤應用訢母沛治療)各48例,觀察兩組產婦產後2 h 與24 h 齣血量、子宮收縮情況及用藥後的不良反應.結果:訢母沛組產後2 h 與24 h 齣血量分彆為(191.43±56.53)ml、(296.69±55.91)ml,與縮宮素組(323.65±68.77)ml、(402.82±67.88)ml 比較差異有統計學意義(P<0.05);訢母沛組子宮收縮總有效率為93.75%,與縮宮素組子宮收縮總有效率81.25%比較差異有統計學意義(P<0.05).兩組產婦在用藥後不反應分彆為6.3%和8.3%,比較差異無統計學意義(P>0.05).結論:訢母沛在治療縮乏力性產後齣血有顯著的療效,是簡單、安全的有效方法,值得臨床廣汎使用.
목적:탐토흔모패재치료자궁수축핍력성산후출혈적림상료효.방법:선택2011년12월-2012년6월재필자소재의원수치적산후출혈산부공96례,수궤분위축궁소조(선궁저주사축궁소20 U,재채용5%포도당액500 ml가축궁소20 U정맥적주치료)여흔모패조(주사、정적축궁소병연합응용흔모패치료)각48례,관찰량조산부산후2 h 여24 h 출혈량、자궁수축정황급용약후적불량반응.결과:흔모패조산후2 h 여24 h 출혈량분별위(191.43±56.53)ml、(296.69±55.91)ml,여축궁소조(323.65±68.77)ml、(402.82±67.88)ml 비교차이유통계학의의(P<0.05);흔모패조자궁수축총유효솔위93.75%,여축궁소조자궁수축총유효솔81.25%비교차이유통계학의의(P<0.05).량조산부재용약후불반응분별위6.3%화8.3%,비교차이무통계학의의(P>0.05).결론:흔모패재치료축핍력성산후출혈유현저적료효,시간단、안전적유효방법,치득림상엄범사용.
Objective:To investigate the hemabate in treatment of uterine contraction asthenia postpartum hemorrhage.Method:From 2011 December to 2012 June,choose 96 cases of postpartum hemorrhage in our hospital,randomized to oxytocin group(using a 5% glucose solution 500 ml and oxytocin 20 U intravenously)with hemabate group(intravenous drip of oxytocin and combined application of hemabate on)48 cases were observed in the two groups,2 h and 24 h in maternal postpartum bleeding,uterine contraction and after drug adverse reaction.Result:Hemabate group of postpartum 2 h and 24 h output respectively(191.43±56.53)ml,(296.69±55.91)ml,and oxytocin group(323.65±68.77)ml,(402.82±67.88)ml compared the difference was statistically significant(P<0.05);uterine contraction of hemabate group total rate of 93.75% and oxytocin group contraction of the uterus the total efficiency of 81.25%,compared the difference was statistically significant(P<0.05).Two groups of women after treatment response were 6.3% and 8.3%:the differences were not statistically significant(P>0.05).Conclusion:Hemabate in treatment of postpartum hemorrhage of uterine atony shrinkage has significant curative effect,is simple,safe and effective method,is worth the clinical widely used.
