卡前列素氨丁三醇预防完全性前置胎盘患者产后出血的临床效果分析  

Clinical Efficacy Analysis of Carboprost Tromethamine in Preventing Postpartum Hemorrhage in Patients with Complete Placenta Previa

作　　者：张金梅 Zhang Jinmei(Du'an Yao Autonomous County Maternal and Child Health Hospital,Hechi,Guangxi 530700)

机构地区：[1]都安瑶族自治县妇幼保健院,广西河池530700

出　　处：《中外健康》2024年第2期98-100,共3页

摘　　要：观察卡前列素氨丁三醇在完全性前置胎盘患者产后出血中的作用。选择都安瑶族自治县妇幼保健院2022年4月—2024年2月期间收治的42例完全性前置胎盘患者,以随机数字表法分成对照组、观察组,各21例;对照组行缩宫素注射治疗,观察组基于对照组行卡前列素氨丁三醇注射治疗,观察两组产后出血发生率,术中、术后2h、术后24h出血量,胎盘剥离方式与时间,以及生活质量量表(SF-36)评分。研究结果显示,观察组产后出血发生率和术中、术后2h及术后24h出血量均显著低于对照组(P<0.05);观察组人工剥离胎盘率、胎盘剥离时间显著低于对照组(P<0.05);治疗前,两组生活质量评分无统计学差异(P>0.05),治疗后,观察组评分优于对照组(P<0.05)。研究发现,卡前列素氨丁三醇应用于完全性前置胎盘患者中,可降低产后出血率,减少术中和术后出血量,降低人工胎盘剥离率,缩短胎盘剥离时间,还可提高患者生活质量。The article aims to observe the role of carboprost tromethamine in postpartum hemorrhage in patients with complete placenta previa.This study selected 42 patients with complete placenta previa admitted to Du'an Yao Autonomous County Maternal and Child Health Hospital from April 2022 to February 2024.They were randomly divided into a control group and an observation group,with 21 patients in each group,using a random number table method;The control group received oxytocin injection treatment,while the observation group received carboprost tromethamine injection treatment based on the control group.The incidence of postpartum hemorrhage,intraoperative,2-hour,and 24-hour bleeding volume,placental abruption method and time,and quality of life scale(SF-36)scores were observed in both groups.The research results showed that the incidence of postpartum hemorrhage and the amount of bleeding during surgery,2 hours after sur gery,and 24 hours after surgery in the observation group were significantly lower than those in the control group(P<0.05);The artificial placental detachment rate and placental detachment time in the observation group were significantly lower than those in the control group,while the placental self detachment time was significantly higher than that in the control group(P<0.05);Before treatment,there was no statistically significant difference in quality of life scores between the two groups(P>0.05),but both groups improved after treatment,and the observation group had better scores than the control group(P<0.05).Research has found that the application of carboprost tromethamine in patients with complete placenta previa can reduce postpartum bleeding rates,decrease intraoperative and postoperative bleeding,lower the rate of artificial placental abruption,shorten placental abruption time,and improve patients'quality of life.

关 键 词：卡前列素氨丁三醇 完全性前置胎盘 产后出血 

分 类 号：R714[医药卫生—妇产科学]