剖宫产产后出血危险因素及欣母沛联合缩宫素防治效果分析  

Analysis of the effect and risk factors of Xinmupei combined with oxytocin in the treatment of postpartum hemorrhage after cesarean section

作　　者：张莉娜 黎淑芬 陈秀英 刘小燕 ZHANG Li-na;LI Shu-fen;CHEN Xiu-ying(Shangyou County People's Hospital,Shangyou 341200,Jiangxi)

机构地区：[1]上犹县人民医院妇产科,江西上犹341200

出　　处：《安徽医专学报》2023年第6期117-119,共3页Journal of Anhui Medical College

基　　金：江西省赣州市指导性科技计划项目(编号:CZ2021ZSF431)。

摘　　要：目的:探讨欣母沛联合缩宫素治疗剖宫产产后出血的效果,并分析产后出血的危险因素。方法:选择在医院行剖宫产分娩的80例产妇,随机分为对照组和观察组,各40例。对照组产妇予以缩宫素治疗,观察组产妇在对照组的基础上联合欣母沛治疗,对比两组产妇产后2h与24h出血量及产后出血发生率。依据产后出血情况将患者分为产后出血组与非产后出血组,Logistic回归分析探讨影响剖宫产产后出血的危险因素。结果:观察组产妇产后2h与24h出血量低于对照组,且其产后出血率较对照组更低,差异有统计学意义(P<0.05);80例产妇中,发生产后出血共11例(13.75%)。Logistic回归分析显示,年龄>32岁、流产史、前置胎盘、妊娠期高血压是影响剖宫产产后出血的高危因素(P<0.05)。结论:欣母沛联合缩宫素治疗可有效降低剖宫产产妇产后出血发生率,年龄、流产史、前置胎盘、妊娠期高血压是剖宫产产妇产后出血的影响因素,临床可针对上述相关危险因素制定相应的防治措施,有助于减少或预防产后出血发生。Objective:To explore the effect of Xinmupei combined with oxytocin in the treatment of postpartum hemorrhage after cesarean section,and analyze the risk factors of postpartum hemorrhage.Method:80 parturients who underwent cesarean section in the hospital were randomly divided into a control group and an observation group,with 40 cases in each group.The control group was treated with oxytocin,while the observation group was treated with a combination of Xinmupei on the basis of the control group.The postpartum hemorrhage volume and incidence of postpartum hemorrhage were compared between the two groups.Patients were divided into postpartum hemorrhage group and non postpartum hemorrhage group based on the condition of postpartum hemorrhage.logistic regression analysis was conducted to explore the risk factors affecting postpartum hemorrhage after cesarean section.The observation group had less postpartum bleeding at 2 and 24 hours compared to the control group,and its postpartum bleeding rate was lower than that of the control group,with a statistically significant difference(P<0.05).Among 80 postpartum women included in this study,a total of 11 cases(13.75%)experienced postpartum hemorrhage.Logistic regression analysis shows that age>32 years old,history of miscarriage,placenta previa,gestational hypertension is a high-risk factor for postpartum hemorrhage after cesarean section(P<0.05).Conclusion:The combination of Xinmupei and oxytocin treatment can effectively reduce the incidence of postpartum hemorrhage in cesarean section women.Age,history of miscarriage,placenta previa,and gestational hypertension are the influencing factors of postpartum hemorrhage in cesarean section women.Clinical prevention and treatment measures can be formulated based on the above related risks,which can help reduce or prevent the occurrence of postpartum hemorrhage.

关 键 词：剖宫产 欣母沛 缩宫素 产后出血 

分 类 号：R714.461[医药卫生—妇产科学]