卡贝缩宫素预防妊娠期高血压剖宫产产后出血的疗效观察  

Observation on the curative effect of carbetocin in preventing postpartum hemorrhage during cesarean section with pregnancy-induced hypertension

作　　者：刘红丽 LIU Hong-li(The People’s Hospital of Linquan County,Linquan 236400,Anhui)

机构地区：[1]临泉县人民医院,安徽临泉236400

出　　处：《安徽医专学报》2022年第1期124-125,128,共3页Journal of Anhui Medical College

摘　　要：目的:探讨卡贝缩宫素预防妊娠期高血压患者剖宫产产后出血的临床疗效。方法:选取80例妊娠期高血压患者,以随机数字表法分组,对照组患者采用缩宫素治疗,观察组患者采用卡贝缩宫素和缩宫素治疗,比较两组分娩情况。结果:相较于对照组,观察组患者产后2h与产后24h出血量更少(P<0.05);相较于对照组,观察组患者产后24?h血红蛋白降低值更小,第三产程时间更短(P<0.05);两组新生儿出生后1min的Apgar评分与羊水性状差异无统计学意义(P>0.05);相较于对照组,观察组患者不良反应发生率更低(P<0.05)。结论:卡贝缩宫素预防妊娠期高血压患者剖宫产产后出血的疗效确切,且安全性高。Objective:To investigate the clinical efficacy of cabetoxin in preventing postpartum hemorrhage after cesarean section in patients with gestational hypertension.Methods:80 patients with gestational hypertension were randomly divided into two groups.The control group was treated with oxytocin and the observation group was treated with cabetoxin and oxytocin.The delivery conditions of the two groups were compared.Results:compared with the control group,the amount of postpartum hemorrhage at 2h and 24 h in the observation group was less(P<0.05);Compared with the control group,the decrease of 24-hour postpartum hemoglobin in the observation group was smaller and the time of the third stage of labor was shorter(P<0.05);There was no significant difference in Apgar score and amniotic fluid traits at 1 min after birth between the two groups(P>0.05);Compared with the control group,the incidence of adverse reactions in the observation group was lower(P<0.05).Conclusion:cabetoxin is effective and safe in preventing postpartum hemorrhage after cesarean section in patients with gestational hypertension.

关 键 词：妊娠期高血压 剖宫产 产后出血 卡贝缩宫素 羊水性状 不良反应 

分 类 号：R719.8[医药卫生—妇产科学]