脐静脉注射催产素在胎盘粘连治疗中的应用  

Application of injecting oxytocin into umbilical vein to treat placental adhesion

作　　者：张建清[1] 孙江川[1] 常淑芳[1] 

机构地区：[1]重庆医科大学附属第二医院妇产科,400010

出　　处：《重庆医学》2011年第32期3289-3290,共2页Chongqing medicine

摘　　要：目的探讨胎盘粘连时脐静脉注射催产素对缩短第三产程,减少产后出血的意义。方法对2004年1月至2010年9月在本院分娩的294例胎盘粘连病例进行回顾性分析,其中脐静脉注射催产素组(A组)134例,宫体注射催产素组(B组)160例,比较两组在第三产程时间、产后大出血的发生率、胎盘娩出的完整性、产后感染、二次清宫术等方面是否存在明显差异。结果A组在缩短第三产程时间,减少产后大出血的发生率,促进胎盘娩出的完整性,减少二次清宫术比例,降低产后感染的发生率方面明显优于B组(P<0.05)。结论使用脐静脉注射催产素是缩短第三产程,减少产后大出血发生率,降低产后感染发生率的安、全有效方法。Objective To explore the effect of injecting oxytocin into umbilical vein in decreasing the time of third stage labor and reducing postpartum hemorrhage when placental adhesion happens.Methods 294 cases of placental adhesion from January 2004 to September 2010 in our hospital,including 134 cases injected oxytocin into umbilical vein and 160 cases injected oxytocin into uterine,were analyzed retrospectively.The time of third stage labor,incidence of postpartum hemorrhage,placenta integrity,post-natal infection and second curettage were investigated and compared in the two groups.Results Patients injected oxytocin into umbilical vein had obvious differences in decreasing the time of third stage labor,reducing the blood loss in the third stage labor,stimulating the integrity of the delivery of placenta,reducing the numbers of sonography of cavity and decreasing the possibility of postnatal infection（P0.05）.Conclusion Injecting oxytocin into umbilical vein is a useful and safe way to decrease the time of third stage labor,reduce postpartum hemorrhage and lower the possibility of postnatal infection.It should be widely spread in clinical application.

关 键 词：胎盘 脐静脉 催产素 产后大出血 

分 类 号：R714.56[医药卫生—妇产科学]