卡前列甲酯栓在胎儿娩出后针对高危产妇立即塞肛预防产后出血的临床研究  

Clinical study of Carboprost Methyl Suppository for the prevention of postpartum hemorrhage in high-risk parturients immediately after delivery of the fetus

作　　者：韩春萍 肖文萍 谢勤英 HAN Chun-ping;XIAO Wen-ping;XIE Qin-ying(Delivery Room,Ganzhou Maternity and Child Health Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市妇幼保健院产房,江西赣州341000

出　　处：《中国当代医药》2021年第24期149-151,共3页China Modern Medicine

基　　金：江西省赣州市卫生健康委员会科研计划项目(2019-1-9)。

摘　　要：目的探讨卡前列甲酯栓在胎儿娩出后对高危产妇立即塞肛预防产后出血的临床效果。方法选取2019年1—12月赣州市妇幼保健院收治的206例胎儿娩出后出血的高危产妇,依照随机数字表法分为对照组与观察组,每组各103例。对照组给予缩宫素治疗,观察组在对照组的基础上给予卡前列甲酯栓治疗。比较两组的临床相关指标及产中、产后2 h的出血量,记录两组的胎盘娩出时间、手取胎盘率、胎盘残留率。结果观察组的胎盘分娩时间≥15 min者所占比例低于对照组,差异有统计学意义(P<0.05)。观察组的产时、产后2 h出血量少于对照组,差异有统计学意义(P<0.05)。观察组的手取胎盘率(2.91%)、胎盘残留率(1.94%)低于对照组(10.68%、11.65%),差异有统计学意义(P<0.05)。结论卡前列甲酯栓在胎儿娩出后对高危产妇立即塞肛预防产后出血的临床效果显著,可显著减少产妇产后出血量,降低手取胎盘率、胎盘残留率。Objective To explore the clinical effect of Carboprost Methyl Suppository for the prevention of postpartum hemorrhage in high-risk parturients immediately after delivery of the fetus.Methods A total of 206 high-risk pregnant women with postpartum hemorrhage in high-risk parturients immediately after delivery of the fetus from January to December 2019 in Ganzhou Maternity and Child Health Hospital were selected,according to the random digital table method,they were divided into the control group and the observation group,103 cases in each group.The control group was treated with Oxytocin,and the observation group was treated with Carboprost Methyl Suppository on the basis of the control group.The clinical related indexes and the amount of postpartum hemorrhage during delivery and 2 hours after delivery were compared between the two groups.The time of delivery of placenta,the rate of manual extraction of placenta and the rate of residual placenta were recorded between the two groups.Results The proportion of placental delivery time≥15 min in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The amount of bleeding in the observation group during delivery and 2 hours after delivery was less than that in the control group,and the differences were statistically significant(P<0.05).The rate of placenta removal by hand(2.91%)and residual rate of placenta(1.94%)in the observation group were lower than those in the control group(10.68%and 11.65%),and the differences were statistically significant(P<0.05).Conclusion The clinical effect of Carboprost Methyl Suppository in preventing postpartum hemorrhage was significant in the prevention of postpartum hemorrhage in high-risk parturients immediately after delivery,which can significantly reduce the amount of postpartum hemorrhage,and reduce the rate of placenta removal and placenta residue by hand.

关 键 词：卡前列甲酯栓 高危产妇 预防产后出血 临床研究 

分 类 号：R714.46[医药卫生—妇产科学]