卡孕栓预防高危妊娠剖宫产术中术后出血的临床分析  

作　　者：滕利[1] 吕荣君[1] 孙丽娟[1] 

机构地区：[1]吉林省妇幼保健院,吉林长春130060

出　　处：《中国保健》2010年第3期14-15,共2页

摘　　要：目的 分析高危妊娠剖宫产术时用与不用卡孕栓术后出血量的差异,了解卡孕栓预防高危妊娠产后出血的效果。方法 将高危妊娠剖宫产产妇分为2组,卡孕栓组126例,经舌下含化卡孕栓1mg加催产素20u宫体肌注,术后清理阴道积血后经肛门向直肠内置入卡孕栓1mg,对照组68例,单用催产素20u宫体肌注。均在胎儿娩出后立即用药。观察产后24h出血量。结果 卡孕栓组产后24 h出血量平均为287.2±118.3mL,对照组平均为382.4±167.3mL,差异性极显著（P100×109/L,出、凝血时间均正常,血红蛋白在100g/L以上。且对卡孕栓均无禁忌证,并随机分为舌下含服及直肠置入卡孕栓组126例,于胎儿娩出后分别宫体注射催产素20IU。另对照组68例于胎儿娩出后宫体注射催产素20IU。进行回顾性研究分析。Objective Analysis of selective cesarean section and do not have to use progesterone suppositories card difference between the amount of postoperative bleeding, understanding carprost suppository high-risk pregnancies to prevent the effects of postpartum hemorrhage. Methods The high-risk pregnancy cesarean section is divided into 2 groups, group carprost suppository 126 cases, the sublingual lmg carprost suppository p/us 20u 6ongti oxytocin injection, after cleaning up blood after vaginal anus to the rectum progesterone suppository built into the card lmg, control group 68 cases, alone 20u Oongti oxytocin injection. In fetal medicine immediately after delivery. Observed 24h post-partum bleeding. Results Group carprost suppository 24h post-partum hemorrhage averaged 287.2~ 118.3mL, the control group averaged 382.4~167.3mL, the difference was highly significant （P〈0.01）. Conclusion Carprost suppository combined with oxytocin in high-risk pregnancy can significantly reduce the amount of post- partum haemorrhage, and has a convenient administration, rapid, safe and economic characteristics.

关 键 词：高危妊娠 剖宫产术 产后出血 卡孕栓 

分 类 号：R719[医药卫生—妇产科学;医药卫生—临床医学]