安列克联合葡萄糖酸钙防治宫缩乏力性产后出血的效果观察  

The effect of alec combined with calcium gluconate in the prevention and treatment of postpartum hemorrhage due to uterine atony

作　　者：汪芬 蒋晖[1] 方莉莉[1] 杨春玲[1] 金彩凤 许海娟 朱欣欣 WANG Fen;JIANG Hui;FANG Lili;YANG Chunling;XU Haijuan;ZHU Xinxin(Department of Obstetrics,Huangshan People's Hospital,Huangshan 245200,Anhui,China)

机构地区：[1]黄山市人民医院产科,安徽黄山245200

出　　处：《中南医学科学杂志》2020年第4期406-408,共3页Medical Science Journal of Central South China

摘　　要：观察安列克(卡前列素氨丁三醇)联合10%葡萄糖酸钙防治宫缩乏力性产后出血的治疗效果。宫缩乏力性产后出血患者124例者,随机将其分为观察组和对照组,每组62例。对照组给予子宫按摩和缩宫素等常规治疗,观察组在常规治疗的基础上加安列克联合10%葡萄糖酸钙治疗。比较两组治疗后的临床疗效、产后出血量及血钙浓度。结果显示,与对照组比较,观察组患者的治疗总有效率显著升高,产后2 h、24 h出血量显著减少,分娩后24 h血钙浓度显著升高。结果说明,在常规治疗的基础上加用安列克和10%葡萄糖酸钙能够显著提高宫缩乏力性产后出血治疗效果,值得临床应用。To investigate the effect of alec combined with 10%calcium gluconate in the prevention and treatment of postpartum hemorrhage due to uterine atony.124 cases of postpartum hemorrhage due to uterine atony were randomly divided into observation group and control group(n=62).The control group was given routine treatment including uterine massage,oxytocin and so on,while the observation group was treated with alec combined with 10%calcium gluconate on the basis of routine treatment.The results showed,compared to the control group,the observation group has a significantly higher total effective rate,a less amount of bleeding at 2 h and 24 h,and a higher concentration of blood calcium at 24 h postpartum.The results suggested clinical efficacy may be significantly improved in the treatment of postpartum hemorrhage due to uterine atony added with alec and combined with 10%calcium gluconate on the basis of routine treatment,which is worthy of clinical application.

关 键 词：卡前列素氨丁三醇 葡萄糖酸钙 缩宫素 宫缩乏力性产后出血 CA^2+浓度 

分 类 号：R714.461[医药卫生—妇产科学]