国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
17期
2538-2539,2544
,共3页
欣母沛%子宫缝合术%子宫收缩%产后出血
訢母沛%子宮縫閤術%子宮收縮%產後齣血
흔모패%자궁봉합술%자궁수축%산후출혈
Hemabate%Uterine suture%Uterine atony%Postpartum hemorrhage
目的 观察欣母沛+子宫缝合术治疗子宫收缩乏力性产后出血临床效果.方法 选择2013年1月至2014年7月我院收治85例剖宫产并发子宫收缩乏力性产后出血患者进行研究,分为两组.对照组采取常规子宫缝合术,观察组在常规子宫缝合术基础上臀部或子宫肌内注射欣母沛注射液,比较两组出血情况、促卵泡刺激素(FSH)、雌二醇、潮热评分.结果 观察组出血量在500 ～ 1000ml者所占比例为83.7％,出血时间≤2h者所占比例为93.0％,均高于对照组,比较差异有统计学意义(P＜0.05);观察组雌二醇水平、子宫内膜厚度高于对照组,FSH与潮热评分低于对照组,比较均有差异统计学意义(P＜0.05).结论 欣母沛+子宫缝合术治疗子宫收缩乏力性产后出血可更有效预防并控制产后出血情况,具有较大借鉴价值,值得推广.
目的 觀察訢母沛+子宮縫閤術治療子宮收縮乏力性產後齣血臨床效果.方法 選擇2013年1月至2014年7月我院收治85例剖宮產併髮子宮收縮乏力性產後齣血患者進行研究,分為兩組.對照組採取常規子宮縫閤術,觀察組在常規子宮縫閤術基礎上臀部或子宮肌內註射訢母沛註射液,比較兩組齣血情況、促卵泡刺激素(FSH)、雌二醇、潮熱評分.結果 觀察組齣血量在500 ～ 1000ml者所佔比例為83.7％,齣血時間≤2h者所佔比例為93.0％,均高于對照組,比較差異有統計學意義(P＜0.05);觀察組雌二醇水平、子宮內膜厚度高于對照組,FSH與潮熱評分低于對照組,比較均有差異統計學意義(P＜0.05).結論 訢母沛+子宮縫閤術治療子宮收縮乏力性產後齣血可更有效預防併控製產後齣血情況,具有較大藉鑒價值,值得推廣.
목적 관찰흔모패+자궁봉합술치료자궁수축핍력성산후출혈림상효과.방법 선택2013년1월지2014년7월아원수치85례부궁산병발자궁수축핍력성산후출혈환자진행연구,분위량조.대조조채취상규자궁봉합술,관찰조재상규자궁봉합술기출상둔부혹자궁기내주사흔모패주사액,비교량조출혈정황、촉란포자격소(FSH)、자이순、조열평분.결과 관찰조출혈량재500 ～ 1000ml자소점비례위83.7％,출혈시간≤2h자소점비례위93.0％,균고우대조조,비교차이유통계학의의(P＜0.05);관찰조자이순수평、자궁내막후도고우대조조,FSH여조열평분저우대조조,비교균유차이통계학의의(P＜0.05).결론 흔모패+자궁봉합술치료자궁수축핍력성산후출혈가경유효예방병공제산후출혈정황,구유교대차감개치,치득추엄.
Objective To observe the clinical effect of hemabate and uterine suture in the treatment of postpartum hemorrhage caused by uterine atony.Methods 85 patients with postpartum hemorrhage caused by uterine atony after cesarean section admitted into our hospital from January,2013 to July,2014 were selected as study objects and divided into a control group and an observation group.The control group were conventional treated with uterine suture;in addition,The observation group were injected hemabate in the hips or uterus intramuscular.The bleeding volume,follicle stimulating hormone (FSH) and estradiol levels,and hot flash score were compared between these two groups.Results 83.7％ patients bled 500-1000 ml and 93.0％ patients had been bleeding not more than 2 hours in the observation group,which were better than in the control group,with statistical differences (P ＜ 0.05).The estradiol level was higher,endometrium was thicker,and FSH level and hot flash score were lower in the observation group than in the control group,with statistical differences (P ＜ 0.05).Conclusions Hemabate + uterine suture in the treatment of postpartum hemorrhage caused by uterine atony is more effective in preventing and controlling postpartum hemorrhage,has great reference value,and is worth being generalized.
