垂体后叶素治疗剖宫产术后宫腔积血  

Pituitrin Treatment on Postoperative Cesarean Section Hematometra

作　　者：张鹏[1] 陈爱华[1] 高晓艳[2] 张玲 佐满珍[1] 

机构地区：[1]三峡大学人民医院妇产科,湖北宜昌443000 [2]三峡大学人民医院超声影像科,湖北宜昌443000

出　　处：《贵阳医学院学报》2015年第4期384-387,共4页Journal of Guiyang Medical College

基　　金：国家自然科学基金(31260248);宜昌市卫生科技项目(A14301-21)

摘　　要：目的:观察垂体后叶素治疗剖宫产术后宫腔积血的临床疗效。方法:将162例剖宫产术后发生宫腔积血的产妇随机分为观察组和对照组,观察组肌注垂体后叶素,对照组肌注缩宫素,观察宫腔积血的治疗效果、子宫复旧情况及用药后的不良反应。结果:两组阴道出血时间比较,观察组短于对照组,差异有统计学意义(P<0.01);与对照组比较,术后第14天观察组宫腔积血明显减少,清宫率显著降低(χ2=6.39,P<0.05);观察组的子宫复旧明显好于对照组,宫腔积血治愈率达到91.4%(74/81),高于对照组的(77.8%,63/81);观察组5例产妇呕吐,治疗组10例出现恶心、呕吐、腹泻。结论:垂体后叶素子宫肌注治疗剖宫产术后宫腔积血效果显著。Objective：To investigate clinical effect of pituitrin therapy on hematometra after cesarean section.Methods：A total of 162 patients with hematometra after cesarean section were randomly divid-ed into observation group and control group.They were injected intramuscularly with pituitrin （obser-vation group）or oxytocin （control group）.Observing treatment effect of hematometra,involution of u-terus and adverse reaction after treatment.Results：Comparing vaginal bleeding time,observation group was significantly shorter than control group,differences were statistical significant（P 〈0.01）;14 days after surgery,hematometra of observation group reduced significantly,curettage rate decreased remarkably（χ^2 =6.39,P 〈0.05）;involution of uterus in observation group was also significantly bet-ter than control group,hemorrhage cure rate was 91.4%（74 /81 ）,higher than that of control group （77.8%,63 /81）.5 patients of observation group vomited,10 patients of control group were nausea, vomited and diarrhea.Conclusion：The effect of pituitrin treatment on hematometra after cesarean sec-tion is remarkable.

关 键 词：垂体后叶素 剖宫产术 子宫积血 子宫复旧 

分 类 号：R714.6[医药卫生—妇产科学]