中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
32期
64-66
,共3页
欣母沛%剖宫产%产后出血
訢母沛%剖宮產%產後齣血
흔모패%부궁산%산후출혈
Hemabate%Cesarean section%Postpartum hemorrhage
目的:探讨肌注与宫体注射欣母沛两种方法预防剖宫产产后出血的疗效。方法:78例剖宫产产妇分别予以肌肉及宫体注射欣母沛,观察两组患者的出血量、临床疗效、不良情绪以及生活质量。结果:两组术后2 h出血量比较差异无统计学意义(P>0.05);术后24 h出血量比较,观察组优于对照组,差异具有统计学意义(P<0.05)。观察组有效率为82.05%,对照组为79.49%,两组比较差异无统计学意义(P>0.05)。观察组产妇的HAMD、HAMA总分及各因子得分均低于对照组,差异具有统计学意义(P<0.05)。患者均无失访现象,观察组患者的生活质量指标PF、RP、RE得分均高于对照组,差异具有统计学意义(P<0.01)。结论:两种方法对于预防剖宫产产后出血效果相当,但肌肉注射欣母沛对于降低24 h内产妇出血效果更佳,且更利于改善产妇的不良情绪,提高生活质量。
目的:探討肌註與宮體註射訢母沛兩種方法預防剖宮產產後齣血的療效。方法:78例剖宮產產婦分彆予以肌肉及宮體註射訢母沛,觀察兩組患者的齣血量、臨床療效、不良情緒以及生活質量。結果:兩組術後2 h齣血量比較差異無統計學意義(P>0.05);術後24 h齣血量比較,觀察組優于對照組,差異具有統計學意義(P<0.05)。觀察組有效率為82.05%,對照組為79.49%,兩組比較差異無統計學意義(P>0.05)。觀察組產婦的HAMD、HAMA總分及各因子得分均低于對照組,差異具有統計學意義(P<0.05)。患者均無失訪現象,觀察組患者的生活質量指標PF、RP、RE得分均高于對照組,差異具有統計學意義(P<0.01)。結論:兩種方法對于預防剖宮產產後齣血效果相噹,但肌肉註射訢母沛對于降低24 h內產婦齣血效果更佳,且更利于改善產婦的不良情緒,提高生活質量。
목적:탐토기주여궁체주사흔모패량충방법예방부궁산산후출혈적료효。방법:78례부궁산산부분별여이기육급궁체주사흔모패,관찰량조환자적출혈량、림상료효、불량정서이급생활질량。결과:량조술후2 h출혈량비교차이무통계학의의(P>0.05);술후24 h출혈량비교,관찰조우우대조조,차이구유통계학의의(P<0.05)。관찰조유효솔위82.05%,대조조위79.49%,량조비교차이무통계학의의(P>0.05)。관찰조산부적HAMD、HAMA총분급각인자득분균저우대조조,차이구유통계학의의(P<0.05)。환자균무실방현상,관찰조환자적생활질량지표PF、RP、RE득분균고우대조조,차이구유통계학의의(P<0.01)。결론:량충방법대우예방부궁산산후출혈효과상당,단기육주사흔모패대우강저24 h내산부출혈효과경가,차경리우개선산부적불량정서,제고생활질량。
Objective:To discuss curative effect of prevent postpartum hemorrhage in cesarean section by intramuscular injection or intrauterine injection hemabate. Method:78 cases of cesarean section puerperant’ blood loss amount,curative effects,unhealthy emotions and life qualities who adopted intramuscular injection or intrauterine injection hemabate were observed.Result:Compared post operation 2 h blood loss amount,the differences hadn’t statistical significances(P>0.05);compared post operation 24 h blood loss amount,observation group better than control group,the differences hadn’t statistical significances(P<0.05).Observation group’s effective percentage was 82.05%, better than control group’s 79.94%,compared two groups’ results,the differences hadn’t statistical significances (P>0.05).Observation group puerperants’ HAMD,HAMA total scores and each factor’s score were all lower than control group,the differences hadn’t statistical significances(P<0.05).Every patient all have been followed up,observation group patients’ life qualities indexes PF,RP,RE scores all higher than control group,the differences had statistical significances(P<0.01).Conclusion:Prevent postpartum hemorrhage in cesarean section by two ways can get the same effect,but intramuscular injection hemabate can get better effect at decrease maternal hemorrhage within 24 h,improve maternal unhealthy emotion,and life quality.