中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2015年
1期
50-53
,共4页
宫腔水囊%卡前列素氨丁三醇%产后出血
宮腔水囊%卡前列素氨丁三醇%產後齣血
궁강수낭%잡전렬소안정삼순%산후출혈
uterine water sac%carboprost tromethamine%postpartum hemorrhage
探讨宫腔水囊压迫联合卡前列素氨丁三醇治疗产后出血的效果。方法对甘肃省白银市第一人民医院2011年8月至2013年12月收治的162例产后大出血患者的临床资料进行回顾性分析，采用宫腔水囊压迫联合卡前列素氨丁三醇治疗的82例为观察组，采用宫腔纱条填塞联合缩宫素治疗的80例为对照组，分析两组止血有效率、放置时间、取出时间、术后2 h及24 h出血量，再次出血率、子宫切除的情况。结果观察组止血有效率高于对照组（98.8％ vs 92.5％， P＜0.05）；产后2 h出血量少于对照组[（25.8±12.3） mL vs （41.1±9.6） mL， P＜0.05]；再次出血发生率低于对照组（1.22％vs 3.75％， P＜0.05）；子宫切除率低于对照组（1.22％vs 7.50％， P＜0.05）。结论宫腔水囊压迫联合卡前列素氨丁三醇治疗产后出血疗效显著，值得临床推广。
探討宮腔水囊壓迫聯閤卡前列素氨丁三醇治療產後齣血的效果。方法對甘肅省白銀市第一人民醫院2011年8月至2013年12月收治的162例產後大齣血患者的臨床資料進行迴顧性分析，採用宮腔水囊壓迫聯閤卡前列素氨丁三醇治療的82例為觀察組，採用宮腔紗條填塞聯閤縮宮素治療的80例為對照組，分析兩組止血有效率、放置時間、取齣時間、術後2 h及24 h齣血量，再次齣血率、子宮切除的情況。結果觀察組止血有效率高于對照組（98.8％ vs 92.5％， P＜0.05）；產後2 h齣血量少于對照組[（25.8±12.3） mL vs （41.1±9.6） mL， P＜0.05]；再次齣血髮生率低于對照組（1.22％vs 3.75％， P＜0.05）；子宮切除率低于對照組（1.22％vs 7.50％， P＜0.05）。結論宮腔水囊壓迫聯閤卡前列素氨丁三醇治療產後齣血療效顯著，值得臨床推廣。
탐토궁강수낭압박연합잡전렬소안정삼순치료산후출혈적효과。방법대감숙성백은시제일인민의원2011년8월지2013년12월수치적162례산후대출혈환자적림상자료진행회고성분석，채용궁강수낭압박연합잡전렬소안정삼순치료적82례위관찰조，채용궁강사조전새연합축궁소치료적80례위대조조，분석량조지혈유효솔、방치시간、취출시간、술후2 h급24 h출혈량，재차출혈솔、자궁절제적정황。결과관찰조지혈유효솔고우대조조（98.8％ vs 92.5％， P＜0.05）；산후2 h출혈량소우대조조[（25.8±12.3） mL vs （41.1±9.6） mL， P＜0.05]；재차출혈발생솔저우대조조（1.22％vs 3.75％， P＜0.05）；자궁절제솔저우대조조（1.22％vs 7.50％， P＜0.05）。결론궁강수낭압박연합잡전렬소안정삼순치료산후출혈료효현저，치득림상추엄。
Objective To study the efficacy of water sac compression combined with carboprost tromethamine in the treatment of postpartum hemorrhage .Methods Data of 162 cases with postpartum hemorrhage in The First People 's Hospital of Baiyin City from August 2011 to December 2013 were retrospectively analyzed.All cases were divided into the observation group (n=82) and control group( n =80 ) .The patients in observation group were treated with intrauterine water sac oppression combined with carboprost tromethamine , patients in control group were treated with uterine cavity ribbon gauze packing combined with pitocin .The hemostasis rate, the time of placing and removing , the 2 hours and 24 hours bleeding amount , the rebleeding rate , number of case with hysterectomy were analyzed .Results The hemostasis rate of observation group was higher than control group (98.8%vs.92.5%, P<0.05), 2 hours postpartum haemorrhage amount of observation group was less than control group [(25.8 ±12.3) mL vs.(41.1 ± 9.6) mL, P<0.05], The rebleeding rate of observation group was lower than control group (1.2% vs.3.75%, P<0.05), the number of case with hysterectomy of observation group was less than control group (1.22% vs.7.50%, P<0.05).Conclusion Uterine water sac compression combined with carboprost tromethamine have efficacy in the treatment of postpartum hemorrhage , which is worthy of clinical promotion .
