卡前列素氨丁三醇治疗宫缩乏力性产后出血的疗效分析  

Analysis on Curative Effect of Carboprost Treatment of Uterine Atony of Postpartum Hemorrhage

作　　者：魏淑珍[1] 炳楠 

机构地区：[1]天祝县人民医院,甘肃天祝733200 [2]天水市407医院,甘肃天水741000

出　　处：《中国初级卫生保健》2016年第5期58-59,共2页Chinese Primary Health Care

摘　　要：目的观察在治疗产妇宫缩乏力性产后出血方面卡前列素氨丁三醇注射液(欣母沛)的治疗效果。方法选取甘肃省天祝县人民医院妇产科2015年1—10月期间子宫收缩乏力性产后出血患者70例作为研究对象,通过数字随机方法进行处理后分为观察组与对照组各35例。在均给予子宫按摩的基础上,根据阴道分娩和剖宫产对两组患者分别应用宫缩素和欣母沛治疗。观察两组患者止血时间、产后2 h出血量及止血效果。结果观察组患者出血时间(13.8±3.2)min、出血量(248.35±20.14)ml与对照组(38.3±8.1)min、(498.20±25.80)ml比较显著降低,差异有统计学意义(P<0.05);观察组总有效率为94.29%,对照组总有效率为62.86%,差异有统计学意义(P<0.05)。结论产妇宫缩乏力性产后出血使用欣母沛进行药物干预,可促进患者宫缩、控制阴道出血量,达到理想的治疗效果,具有较高的临床推广价值。OBJECTIVE To observe the bleeding in the treatment of postpartum maternal uterine atony of carboprost tromethamine in-jection（Xin Pei） treatment. METHODS From January 2015 to October 2015, 70 cases with uterine atony and postpartum hemorrhagewere chose as the object of study, through digital stochastic methods were divided into two groups and 35 cases in the control group.Uterine massage based on the basis of vaginal delivery and cesarean section on patients using oxytocin and carboprost trometamol（Xin Pei）. were observed on all patients with bleeding, postpartum 2H bleeding and bleeding effects. RESULTS Set duration（13.8 ±3.2） min, blood loss（248.35 ± 20.14） ml VS control group（38.3 ± 8.1） min,（498.20 ± 25.80） ml significantly lower, there was a statis-tically significant difference（P〈0.05）; group total efficiency 94.29% VS total effective rate 62.86% were significantly higher in thecontrol group, there was a statistically significant difference（P〈0.05）. CONCLUSION Maternal uterine atony of postpartum bleedingusing carboprost trometamol drug intervention conld promote uterine contractions, vaginal bleeding control and achieve the desiredtreatment effect, which had high clinical value.

关 键 词：卡前列素氨丁三醇 宫缩乏力 产后出血 

分 类 号：R714.41[医药卫生—妇产科学]