缩宫素与卡前列素氨丁三醇对足月产妇剖宫产术后出血情况、胃肠功能恢复及首次排尿时间的影响  

Effect of oxytocin combined with carboprost tromethamine on postoperative hemorrhage,recovery of gastrointestinal function,and the first average urination time after cesarean section in full-term delivery

作　　者：王艳姣[1] 梁婧[1] 梁萍[1] 玉丽丽[1] 孔琳[1] 宋良[1] WANG Yan-Jiao LIANG Jing LIANG Ping et al(Department of Obstetrics, Maternal and Child Health Care Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530003, Chin)

机构地区：[1]广西壮族自治区妇幼保健院产科,广西南宁530003

出　　处：《中国妇幼保健》2017年第20期4923-4925,共3页Maternal and Child Health Care of China

基　　金：广西壮族自治区自筹课题(Z2015232)

摘　　要：目的探讨缩宫素与卡前列素氨丁三醇对足月产妇剖宫产术后出血情况、胃肠功能恢复及首次排尿时间的影响。方法选取该院2014年10月-2016年10月收治的足月产妇共130例为研究对象,按随机数字表法分为对照组(65例)和观察组(65例),分别在剖宫产术后给予缩宫素与卡前列素氨丁三醇;比较两组患者术后2 h和24 h出血量,胃肠功能恢复时间,首次排尿时间及不良反应发生率等。结果观察组患者术后2 h和24 h出血量均显著少于对照组,胃肠功能恢复时间显著短于对照组,差异有统计学意义(t=3.14、3.30、2.74,均P<0.05);观察组患者首次排尿时间显著优于对照组,差异有统计学意义(F=3.78,P<0.05);同时两组患者不良反应发生率比较差异无统计学意义(χ~2=0.97,P>0.05)。结论足月产妇剖宫产术后给予卡前列素氨丁三醇可有效减少术后出血量,促进胃肠功能恢复和早期排尿,且未增加不良反应发生风险,其价值优于缩宫素。Objective To explore the effect of oxytocin combined with carboprost tromethamine on postoperative hemorrhage, recovery of gastrointestinal function, and the first average urination time after cesarean section in full-term delivery. Methods A total of 130 women after full-term delivery were chosen from the hospital from October 2014 to October 2016, then they were divided into control group and ob- servation group according to random number table, 65 women in each group. The women in observation group were treated by oxytoein com- bined with carboprost tromethamine. The amounts of postoperative hemorrhage at 2 and 24 hours after operation, the time of gastrointestinal iunction recovery, the first average urination time, and the incidence rates of adverse effects in the two groups were compared. Results The amounts of postoperative hemorrhage at 2 and 24 hours after operation in observation group were statistically significantly less than those in control group （ t = 3. 14, 3.30, P〈0. 05 ） . The time of gastrointestinal function recovery in observation group was statistically significantly shorter than that in control group （ t = 2. 74, P〈0. 05 ） . The first average urination time in observation group was statistically significantly better than that in control group （ F = 3.78, P〈0. 05 ） . There was no statistically significant difference in the incidence rates of adverse effects between the two groups （X^2 = 0. 97, P〉0. 05 ） . Conclusion Oxytocin combined with carboprost tromethamine used for full-term delivery after cesarean section can effectively reduce the amount of postoperative hemorrhage, promote recovery of gastrointestinal function and urination as soon as possible, and it doesn＇t increase the incidence rates of adverse effects, the value is superior to oxytocin.

关 键 词：缩宫素 卡前列素氨丁三醇 剖宫产 术后出血 胃肠功能 排尿 

分 类 号：R719[医药卫生—妇产科学]