欣母沛＋子宫缝合术治疗子宫收缩乏力性产后出血的临床效果研究  

Hemabate and uterine suture in treatment of postpartum hemorrhage caused by uterine atony

作　　者：邢建琴[1] 姜云霞[1] 

机构地区：[1]威海市文登中心医院妇产科,264400

出　　处：《国际医药卫生导报》2015年第17期2538-2539,2544,共3页International Medicine and Health Guidance News

摘　　要：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.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.

关 键 词：欣母沛 子宫缝合术 子宫收缩 产后出血 

分 类 号：R714.461[医药卫生—妇产科学]