卡前列素氨丁三醇与缩宫素联合治疗中央性前置胎盘剖宫产的效果分析  

Effect analysis of combined treatment of central placental previa cesarean section with carprost,tramine and oxytocin

作　　者：钟秋萍 陈晓琴 ZHONG Qiu-ping;CHEN Xiao-qin(Meizhou People's Hospital,Meizhou 514000,Guangdong)

机构地区：[1]梅州市人民医院,广东梅州514000

出　　处：《安徽医专学报》2024年第6期99-101,共3页Journal of Anhui Medical College

基　　金：2023年梅州市科技计划项目(编号:2023C0301171)。

摘　　要：目的:探讨卡前列素氨丁三醇与缩宫素联合应用对中央性前置胎盘剖宫产患者凝血功能及母婴结局的影响。方法:选择医院收治的93例中央性前置胎盘剖宫产患者,按照患者所使用药物治疗方案进行条件分组。对照组53例患者于胎儿娩出后应用缩宫素予以治疗,观察组40例患者采用卡前列素氨丁三醇与缩宫素行联合治疗。比较两组治疗效果、出血与止血情况、治疗前后凝血功能、母婴结局。结果:观察组患者治疗有效率高于对照组(P<0.05)。观察组患者止血效果明显优于对照组(P<0.05)。观察组患者治疗后PT、TT低于对照组,FIB高于对照组(P<0.05)。观察组母婴结局优于对照组(P<0.05)。结论:联合用药治疗中央性前置胎盘剖宫产的效果较好,可强化对产妇的止血效果,改善其凝血状态,避免母婴意外事件发生,临床价值显著。Objective:To investigate the effects of prostamine triol combined with oxytocin on coagulation function and maternal and infant outcomes of central placenta previa cesarean section.Methods:93 patients with central placenta previa cesarean section admitted to the hospital were selected and grouped according to the drug treatment regimen used.After delivery,53 cases in the control group were treated with oxytocin,and 40 cases in the observation group were treated with carprost and tramine.The therapeutic effect,bleeding and hemostasis,coagulation function before and after treatment,maternal and infant outcomes were compared between the two groups.Results:The effective rate of observation group,which was higher than that of control group(P<0.05).Compared with the control group,the hemostatic effect of the observation group was significantly better(P<0.05).Compared with the control group,the PT and TT of the observation group after treatment were lower than those of the control group,and the FIB was higher than those of the control group(P<0.05).The outcome of the observation group was better than that of the control grou(P<0.05).Conclusion:The combination of drugs in the treatment of central placenta previa cesarean section has good effect,can strengthen the hemostatic effect of the parterients,improve the coagulation state,avoid the occurrence of maternal and infant accidents,and has significant clinical value.

关 键 词：卡前列素氨丁三醇 缩宫素 中央性前置胎盘 凝血功能 母婴结局 

分 类 号：R719.8[医药卫生—妇产科学]