探讨不同时机使用欣母沛预防宫缩乏力型产后出血的临床效果  

Exploration on the Clinical Effect of Using Hemabate at Different Times to Prevent Postpartum Hemorrhage Caused by uterine Asthenia

作　　者：耿昕[1] GENG Xin(Department of Obstetrics,Wuzhong People's Hospital of Suzhou City,Suzhou,Jiangsu Province,215128 China)

机构地区：[1]苏州市吴中人民医院产科,江苏苏州215128

出　　处：《系统医学》2021年第10期107-109,共3页Systems Medicine

摘　　要：目的探讨不同时机使用欣母沛预防宫缩乏力型产后出血的效果。方法选择2018年3月—2020年3月到该院住院分娩的潜在产后出血高危因素产妇70例,随机分为对照组和研究组,各35例。对照组在胎儿、胎盘娩出后立即使用缩宫素并进行子宫按摩,当出血量>300 mL使用欣母沛治疗,研究组在胎儿、胎盘娩出后立即使用缩宫素并同时使用欣母沛治疗,对比两组相关指标情况。结果研究组治疗总有效率97.14%高于对照组的74.28%,差异有统计学意义(χ^(2)=5.717,P<0.05);研究组治疗时间、住院时间分别为(4.13±1.12)、(5.06±1.25)d明显优于对照组,差异有统计学意义(t=7.144、6.591,P<0.05);研究组产后1、2 h及24 h出血量分别为(423.43±45.32)、(452.31±40.57)、(483.57±33.18)mL均低于低于对照组,差异有统计学意义(t=3.211、3.274、3.396,P<0.05);研究组不良反应4例明显低于对照组的16例,差异有统计学意义(χ^(2)=10.084,P<0.05)。结论有宫缩乏力型产后出血的高危因素产妇应尽早使用欣母沛治疗,有利于加强子宫收缩,减少子宫出血,促进子宫恢复。Objective To explore the effect of using hemabate at different times to prevent postpartum hemorrhage caused by uterine asthenia.Methods Seventy pregnant women with potential high-risk factors for postpartum hemorrhage were selected from March 2018 to March 2020 to be hospitalized in the hospital for delivery.They were randomly divided into a control group and a study group,with 35 cases in each group.The control group used oxytocin and uterine massage immediately after the delivery of the fetus and placenta.When the bleeding volume was greater than 300 mL,the treatment group was treated with Hemabate.The study group was treated with oxytocin and Hemabate immediately after the fetus and placenta were delivered.Compared the two sets of related indicators.Results The total effective rate of treatment in the study group was 97.14%higher than 74.28%in the control group,and the difference was statistically significant(χ^(2)=5.717,P<0.05);the treatment time and hospital stay of the study group were(4.13±1.12)d and(5.06±1.25)d was significantly better than the control group,the difference was statistically significant(t=7.144,6.591,P<0.05);the bleeding volume of the study group at 1 h,2 h and 24 h after delivery were(423.43±45.32)mL and(452.31±40.57)mL and(483.57±33.18)mL were lower than those in the control group,and the difference was statistically significant(t=3.211,3.274,3.396,P<0.05);4 cases of adverse reactions in the study group were significantly lower than those in the control group of 16 cases,the difference was statistically significant(χ^(2)=10.084,P<0.05)Conclusion Parturients with high risk factors of postpartum hemorrhage due to uterine asthenia should be treated with hemabate as soon as possible,which is beneficial to strengthen uterine contractions,reduce uterine bleeding,and promote uterine recovery.

关 键 词：欣母沛 宫缩乏力 产后出血 缩宫素 

分 类 号：R714.461[医药卫生—妇产科学]