剖宫产术后出血预防中卡贝缩宫素联合米索前列醇应用的临床观察  

Clinical Observation on Carbetocin Combined with Misoprostol in Preventing the Postoperative Hemorrhage after the Cesarean Section

作　　者：刘溪 LIU Xi(Department of Gynecology and Obstetrics,Jinghong People’s Hospital,Jinghong,Yunnan Province,666100 China)

机构地区：[1]云南省西双版纳州景洪市人民医院妇产科,云南景洪666100

出　　处：《中外医疗》2018年第2期126-128,共3页China & Foreign Medical Treatment

摘　　要：目的研究剖宫产术后出血预防应用卡贝缩宫素联合米索前列醇的临床价值。方法方便选取2015年6月—2017年6月期间该院收治的200例需行剖宫产术分娩的产妇作为研究对象,随机将产妇分为实验组和对照组,其中对照组单纯应用卡贝缩宫素预防术后出血,实验组则采用卡贝缩宫素联合米索前列醇预防术后出血,比较预防效果。结果实验组产妇子宫收缩良好率(97.0%)明显高于对照组产妇的子宫收缩良好率(83.0%),组间数据差异有统计学意义(P<0.05);实验组产妇出血预防总有效率(98.0%)明显高于对照组产妇出血预防总有效率(89.0%),组间数据差异有统计学意义(P<0.05)。结论剖宫产术后应用卡贝缩宫素联合米索前列醇预防术后出血明显提高了子宫收缩效果,起到了预防术后出血效果,值得推广。Objective To research the clinical value of carbetocin combined with misoprostol in preventing the postoperative hemorrhage after the cesarean section.Methods 200 cases of delivery women needing the cesarean section in our hospital from June 2015 to June 2017 were convenient selected as the research objects and randomly divided into two groups,the control group used the simple carbetocin,while the experimental group used the carbetocin combined with misoprostol,and the prevention effect was compared between the two groups.Results The uterine contraction good rate in the experimental group was obviously higher than that in the control group(97.0%vs 83.0%),and the difference was obvious with statistical significance(P<0.05),and the total prevention effective rate in the experimental group was obviously higher than that in the control group,(98.0%vs 89.0%),and the difference was statistically significant(P<0.05).Conclusion The carbetocin combined with misoprostol in preventing the postoperative hemorrhage after the cesarean section obviously improves the effect of uterine contraction and plays a role of preventing the postoperative hemorrhage,which is worth promotion.

关 键 词：剖宫产 术后出血 卡贝缩宫素 米索前列醇 

分 类 号：R719[医药卫生—妇产科学]