CAJ | 학술논문

目的：观察垂体后叶素治疗剖宫产术后宫腔积血的临床疗效。方法：将162例剖宫产术后发生宫腔积血的产妇随机分为观察组和对照组，观察组肌注垂体后叶素，对照组肌注缩宫素，观察宫腔积血的治疗效果、子宫复旧情况及用药后的不良反应。结果：两组阴道出血时间比较，观察组短于对照组，差异有统计学意义（P ＜0．01）；与对照组比较，术后第14天观察组宫腔积血明显减少，清宫率显著降低（χ2＝6．39，P ＜0．05）；观察组的子宫复旧明显好于对照组，宫腔积血治愈率达到91．4％（74／81），高于对照组的（77．8％，63／81）；观察组5例产妇呕吐，治疗组10例出现恶心、呕吐、腹泻。结论：垂体后叶素子宫肌注治疗剖宫产术后宫腔积血效果显著。
목적：관찰수체후협소치료부궁산술후궁강적혈적림상료효。방법：장162례부궁산술후발생궁강적혈적산부수궤분위관찰조화대조조，관찰조기주수체후협소，대조조기주축궁소，관찰궁강적혈적치료효과、자궁복구정황급용약후적불량반응。결과：량조음도출혈시간비교，관찰조단우대조조，차이유통계학의의（P ＜0．01）；여대조조비교，술후제14천관찰조궁강적혈명현감소，청궁솔현저강저（χ2＝6．39，P ＜0．05）；관찰조적자궁복구명현호우대조조，궁강적혈치유솔체도91．4％（74／81），고우대조조적（77．8％，63／81）；관찰조5례산부구토，치료조10례출현악심、구토、복사。결론：수체후협소자궁기주치료부궁산술후궁강적혈효과현저。
Objective:To investigate clinical effect of pituitrin therapy on hematometra after cesarean section.Methods:A total of 162 patients with hematometra after cesarean section were randomly divid-ed into observation group and control group.They were injected intramuscularly with pituitrin (obser-vation group)or oxytocin (control group).Observing treatment effect of hematometra,involution of u-terus and adverse reaction after treatment.Results:Comparing vaginal bleeding time,observation group was significantly shorter than control group,differences were statistical significant(P <0.01);14 days after surgery,hematometra of observation group reduced significantly,curettage rate decreased remarkably(χ2 =6.39,P <0.05);involution of uterus in observation group was also significantly bet-ter than control group,hemorrhage cure rate was 91.4%(74 /81 ),higher than that of control group (77.8%,63 /81).5 patients of observation group vomited,10 patients of control group were nausea, vomited and diarrhea.Conclusion:The effect of pituitrin treatment on hematometra after cesarean sec-tion is remarkable.