缩宫素联合卡孕栓预防高危产妇剖宫产出血的临床效果

发布时间：2018-01-10 06:07

本文关键词：缩宫素联合卡孕栓预防高危产妇剖宫产出血的临床效果　出处：《中国妇幼保健》2016年24期 　论文类型：期刊论文

【摘要】：目的观察缩宫素联合卡孕栓不同给药时间防治高危产妇剖宫产产后出血的临床效果。方法将309例有产后出血高危因素,计划行剖宫产的产妇随机分为A组、B组和C组,每组各103例。A组采用缩宫素预防性治疗,B组采用缩宫素+卡孕栓(娩出前)预防性治疗,C组采用缩宫素+卡孕栓(娩出后)预防性治疗。比较3组第三产程时间,术中、术后2 h、术后24 h出血量,不同危险因素出血情况以及产后出血发生率。结果第三产程时间:B组C组A组(P0.05)。术中、产后2 h、产后24 h出血量:B组C组A组(P0.05)。产后出血发生率:B组C组A组(P0.05)。双胎、巨大儿、羊水过多、胎盘前置以及剖宫产瘢痕子宫产妇应用缩宫素+卡孕栓出血量均少于单用缩宫素产妇(P0.05),且娩出前运用卡孕栓,术中及术后出血量减少效果更明显(P0.05)。前置胎盘产妇术中、术后2 h、术后24 h出血量:中央性部分性边缘性(P0.05)。胎盘位于前壁较后壁更易出血,差异有统计学意义(P0.05)。结论采用缩宫素+卡孕栓(娩出前)预防性治疗剖宫产产后出血的临床效果优于单用缩宫素及缩宫素+卡孕栓(娩出后)预防性治疗,可显著缩短第三产程时间,减少不同高危产妇术中以及术后出血量,降低产后出血发生率。
[Abstract]:Objective to observe the clinical effect of oxytocin combined with pregnancy suppository on preventing and treating postpartum hemorrhage of cesarean section in high-risk women. Methods 309 cases with high risk factors of postpartum hemorrhage were randomly divided into group A. Group B and group C were treated with oxytocin prophylaxis in each group (n = 103). Group B was treated with oxytocin pregnancy suppository (before delivery). Group C was treated with oxytocin card pregnancy suppository (after delivery). The time of the third stage of labor, the amount of bleeding during operation, 2 hours after operation and 24 hours after operation were compared among the 3 groups. Results the third stage of labor was: group C, group C, group A, P 0.05, intraoperative, postpartum 2 hours. 24 h postpartum hemorrhage volume: group C, group C, group A, group A, the incidence of postpartum hemorrhage: group B, group C, group A, group A, P0.05, twins, macrosomia, amniotic fluid. The amount of uterine bleeding with oxytocin card pregnancy suppositories in placenta previa and cesarean scar uterus was less than that in single oxytocin pregnant women (P 0.05), and before delivery, it was used with card pregnancy suppositories. The decrease of blood loss during and after operation was more obvious than that of P0.05. during the operation of placenta previa, 2 hours after operation. The volume of bleeding 24 hours after operation: central partial marginal P0.05A placenta was more likely to bleed in the anterior wall than in the posterior wall. Conclusion the prophylactic treatment of postpartum hemorrhage of cesarean section with oxytocin card pregnancy suppository (before delivery) is better than that with oxytocin alone and oxytocin card pregnancy suppository (after delivery). Preventive treatment. It can shorten the time of the third stage of labor, reduce the amount of bleeding during and after operation, and reduce the incidence of postpartum hemorrhage.
【作者单位】：南京市中医院城南分院;
【分类号】：R719.8
【正文快照】： 产后出血为产科最常见、最严重的并发症之一[1],给产妇身心健康带来严重威胁。世界卫生组织的报告[2]显示:因产后出血导致的孕产妇死亡人数占全世界孕产妇死亡人数的1/4[3]。在医疗资源匮乏的国家、地区,产后出血发生率显著高于其他国家和地区[4],产后出血居我国产妇死亡原因

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