中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
31-32,33
,共3页
卡前列素氨丁三醇%胎盘因素性产后出血%疗效
卡前列素氨丁三醇%胎盤因素性產後齣血%療效
잡전렬소안정삼순%태반인소성산후출혈%료효
Carboprost tromethamine%Placental factors of postpartum hemorrhage%Efficacy
目的：分析卡前列素氨丁三醇联合缩宫素防治胎盘因素性产后出血的临床效果。方法：选取2013年2月-2014年2月在本院单胎妊娠且自愿行剖宫产分娩术的产妇82例，按照随机数字表法分成两组，41例对照组产妇在胎儿娩出后行宫缩素宫底肌肉注射，41例研究组产妇在对照组基础上加用卡前列素氨丁三醇，比较两组产妇的产后出血量、血红蛋白、术后并发症与不良反应。结果：研究组产妇术后2、12、24 h的出血量均比对照组少，差异均有统计学意义（P<0.05）；术后1、2 d时，两组产妇的血红蛋白水平显著下降，组间比较差异有统计学意义（P<0.05）；研究组产妇产后出血率12.20%，术后并发症总发生率14.63%，均低于对照组的29.27%、36.59%，差异均有统计学意义（P<0.05）。结论：卡前列素氨丁三醇联合缩宫素防治胎盘因素性产后出血，可以降低剖宫产术后出血量与血红蛋白下降幅度，减少术后并发症的发生。
目的：分析卡前列素氨丁三醇聯閤縮宮素防治胎盤因素性產後齣血的臨床效果。方法：選取2013年2月-2014年2月在本院單胎妊娠且自願行剖宮產分娩術的產婦82例，按照隨機數字錶法分成兩組，41例對照組產婦在胎兒娩齣後行宮縮素宮底肌肉註射，41例研究組產婦在對照組基礎上加用卡前列素氨丁三醇，比較兩組產婦的產後齣血量、血紅蛋白、術後併髮癥與不良反應。結果：研究組產婦術後2、12、24 h的齣血量均比對照組少，差異均有統計學意義（P<0.05）；術後1、2 d時，兩組產婦的血紅蛋白水平顯著下降，組間比較差異有統計學意義（P<0.05）；研究組產婦產後齣血率12.20%，術後併髮癥總髮生率14.63%，均低于對照組的29.27%、36.59%，差異均有統計學意義（P<0.05）。結論：卡前列素氨丁三醇聯閤縮宮素防治胎盤因素性產後齣血，可以降低剖宮產術後齣血量與血紅蛋白下降幅度，減少術後併髮癥的髮生。
목적：분석잡전렬소안정삼순연합축궁소방치태반인소성산후출혈적림상효과。방법：선취2013년2월-2014년2월재본원단태임신차자원행부궁산분면술적산부82례，안조수궤수자표법분성량조，41례대조조산부재태인면출후행궁축소궁저기육주사，41례연구조산부재대조조기출상가용잡전렬소안정삼순，비교량조산부적산후출혈량、혈홍단백、술후병발증여불량반응。결과：연구조산부술후2、12、24 h적출혈량균비대조조소，차이균유통계학의의（P<0.05）；술후1、2 d시，량조산부적혈홍단백수평현저하강，조간비교차이유통계학의의（P<0.05）；연구조산부산후출혈솔12.20%，술후병발증총발생솔14.63%，균저우대조조적29.27%、36.59%，차이균유통계학의의（P<0.05）。결론：잡전렬소안정삼순연합축궁소방치태반인소성산후출혈，가이강저부궁산술후출혈량여혈홍단백하강폭도，감소술후병발증적발생。
Objective:To analyze the clinical effect of Carboprost tromethamine combined with Oxytocin in the treatment of cesarean placental factors of postpartum hemorrhage.Method:82 cases surgery voluntary cesarean section delivery of maternal were randomly selected from February 2013 to February 2014 in our hospital.All patients were divided into two groups using the random number table.41 cases in the control group were treated by Oxytocin injection,41 cases in the study group were used Carboprost tromethamine based on control group.Maternal hemoglobin,postoperative complications and adverse reactions of two groups were observed and compared.Result:The bleeding amount of study group at 2,12,24 h were all less than the control group,and the difference was statistically significant (P<0.05).The maternal hemoglobin levels decreased significantly after 1, 2 d,and differences were both statistically significant (P<0.05).The postpartum hemorrhage rate with 12.20% and the overall incidence of postoperative complications with 14.63%,were both lower than the control group with 29.27% and 36.59%,and the differences were statistical significance (P<0.05).Conclusion:Carboprost tromethamine combined with Oxytocin in the treatment of cesarean placental factors of postpartum hemorrhage,can reduce the amount of bleeding and hemoglobin,reduce the incidence of postoperative complications.
