中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
36期
88-89
,共2页
欣母沛%宫缩乏力%产后出血
訢母沛%宮縮乏力%產後齣血
흔모패%궁축핍력%산후출혈
Hemabate%Contractions are weak%Postpartum hemorrhage
目的：探讨欣母沛治疗宫缩乏力性产后出血的治疗效果。方法：2012年11月-2013年12月收治宫缩乏力性产后出血患者68例，作为研究的对象，均采用欣母沛药物治疗。剖宫产分娩产妇30例，于宫体肌层注射欣母沛250μg。阴道分娩产妇38例，于产妇臀部深部或者宫颈处肌肉注射欣母沛250μg，若效果不理想，需要间隔15～90 min重复采用。观察分析患者的治疗效果以及不良反应的发生情况。结果：宫缩乏力性产后出血患者通过采用欣母沛药物治疗后，显效62例(91.18%)，有效5例(7.35%)，无效1例(1.47%)，总有效率98.53%(67/68)。4例患者腹泻，2例患者恶心、呕吐、面色潮红等症状，不良反应发生率8.82%。结论：欣母沛治疗宫缩乏力性产后出血患者具有非常明显的治疗效果，且止血效果好，不良反应发生率较低，很大程度上减少了子宫切除率，是一种安全有效的治疗方式，值得在临床上大力推广。
目的：探討訢母沛治療宮縮乏力性產後齣血的治療效果。方法：2012年11月-2013年12月收治宮縮乏力性產後齣血患者68例，作為研究的對象，均採用訢母沛藥物治療。剖宮產分娩產婦30例，于宮體肌層註射訢母沛250μg。陰道分娩產婦38例，于產婦臀部深部或者宮頸處肌肉註射訢母沛250μg，若效果不理想，需要間隔15～90 min重複採用。觀察分析患者的治療效果以及不良反應的髮生情況。結果：宮縮乏力性產後齣血患者通過採用訢母沛藥物治療後，顯效62例(91.18%)，有效5例(7.35%)，無效1例(1.47%)，總有效率98.53%(67/68)。4例患者腹瀉，2例患者噁心、嘔吐、麵色潮紅等癥狀，不良反應髮生率8.82%。結論：訢母沛治療宮縮乏力性產後齣血患者具有非常明顯的治療效果，且止血效果好，不良反應髮生率較低，很大程度上減少瞭子宮切除率，是一種安全有效的治療方式，值得在臨床上大力推廣。
목적：탐토흔모패치료궁축핍력성산후출혈적치료효과。방법：2012년11월-2013년12월수치궁축핍력성산후출혈환자68례，작위연구적대상，균채용흔모패약물치료。부궁산분면산부30례，우궁체기층주사흔모패250μg。음도분면산부38례，우산부둔부심부혹자궁경처기육주사흔모패250μg，약효과불이상，수요간격15～90 min중복채용。관찰분석환자적치료효과이급불량반응적발생정황。결과：궁축핍력성산후출혈환자통과채용흔모패약물치료후，현효62례(91.18%)，유효5례(7.35%)，무효1례(1.47%)，총유효솔98.53%(67/68)。4례환자복사，2례환자악심、구토、면색조홍등증상，불량반응발생솔8.82%。결론：흔모패치료궁축핍력성산후출혈환자구유비상명현적치료효과，차지혈효과호，불량반응발생솔교저，흔대정도상감소료자궁절제솔，시일충안전유효적치료방식，치득재림상상대력추엄。
Objective:To explore the curative effect of hemabate in the treatment of postpartum hemorrhage caused by uterine inertia.Methods:68 cases of patients with postpartum hemorrhage caused by uterine inertia from November 2012 to December 2013 as the research object adopted hemabate treatment.Corpus muscular layer in 30 cases of cesarean were injected with hemabate 250 μ g.The hip or cervix and deep intramuscular in 38 cases of vagina childbirth puerperal were injected with hemabate 250 μ g,if the effect was not ideal,repeat use were needed interval 15~90 minutes.The treating effect and adverse reaction of the patients were observed and analyzed.Results:The patients with postpartum hemorrhage caused by uterine inertia were treated with hemabate;62 cases were markedly improved(91.18%);5 cases were effective(7.35%);1 case was invalid(1.47%);the total effective rate was 98.53%(67/68).4 patients had diarrhea and 2 patients had symptoms such as nausea and vomiting,and flush complexion and the incidence of adverse reactions was 8.82% .Conclusion:Hemabate in the treatment of postpartum hemorrhage caused by uterine inertia had obvious therapeutic effect and hemostatic effect was good and had the low incidence of adverse reactions,which reduced the uterus resection rate greatly and was a kind of safe and effective treatment,worth promoting in clinic.
