瘢痕子宫妊娠产后出血的防治措施比较及母婴不良预后分析  

About the effect of oxytocin on uterine scar pregnancy and maternal weight status of cesarean section postpartum hemorrhage

作　　者：姚平平 谌媛媛 胡银逢 万秋 Yao Pingping;Chen Yuanyuan;Hu Yinfeng;Wan Qiu(Obstetrical department,Linquan County People's Hospital,Fuyang 236000,Anhui Province,China)

机构地区：[1]临泉县人民医院产科,安徽阜阳236000

出　　处：《现代科学仪器》2024年第1期107-110,共4页Modern Scientific Instruments

基　　金：安徽省高校自然科学研究项目(No.KJ2019A0284)。

摘　　要：目的:比较不同措施对瘢痕子宫妊娠产后出血的防治效果并分析母婴不良预后情况。方法:选取2022年1月至2022年12月拟于临泉县人民医院产科分娩的瘢痕子宫妊娠产妇96例,随机分为两组各48例。对照组肌注缩宫素,研究组静脉滴注卡贝缩宫素,比较两组效果差异。结果:研究组不同时间段的出血量、血红蛋白下降水平、其他止血干预总使用率、头痛发生率、呕吐发生率、皮肤瘙痒发生率低于对照组(P<0.05),腹痛发生率、恶心发生率、新生儿窒息发生率与对照组相近(P>0.05)。结论:卡贝缩宫素的瘢痕子宫妊娠产后出血防治效果更佳,母婴不良预后发生风险低。Objective:To compare the prevention and treatment effects of different measures on postpartum hemorrhage in scar uterus pregnancy and analyze the adverse prognosis of mother and baby.Method:96 pregnant women with scar uterus who were scheduled to give birth in the obstetrical department of Linquan County People's Hospital from January 2022 to December 2022 were randomly divided into two groups with 48 cases each.The control group received intramuscular injection of oxytocin,while the study group received intravenous infusion of cabetocin to compare the differences in efficacy between the two groups.Result:The bleeding volume,decreased hemoglobin levels,total use of other hemostatic interventions,incidence of headache,vomiting,and skin itching in the study group were lower than those in the control group at different time periods(P<0.05).The incidence of abdominal pain,nausea,and neonatal asphyxia in the study group were similar to those in the control group(P>0.05).Conclusion:The prevention and treatment of postpartum hemorrhage in scarred uterine pregnancy with cabetocin is more effective,and the risk of adverse prognosis for mother and baby is low.

关 键 词：瘢痕子宫 剖宫产 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]