[1]李莉*,刘媛媛,邹佑军.卡前列甲酯栓联合缩宫素对瘢痕子宫剖宫产患者 产后出血的影响[J].中国计划生育和妇产科,2017,(2):33-35.
　LI Li*,LIU Yuan-yuan,ZOU You-jun.Effect of carboprost methylate suppository combined with oxytocin on postpartum hemorrhage in patients with scar uterus[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):33-35.
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卡前列甲酯栓联合缩宫素对瘢痕子宫剖宫产患者 产后出血的影响
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年2期
页码:
33-35
栏目:
论著与临床
出版日期:
2017-02-25

文章信息/Info

Title:
Effect of carboprost methylate suppository combined with oxytocin on postpartum hemorrhage in patients with scar uterus
作者:
李莉*; 刘媛媛; 邹佑军
深圳市龙华新区人民医院
Author(s):
LI Li*;  LIU Yuan-yuan;  ZOU You-jun
Department of Obstetrics, People’s Hospital of Longhua New District, Shenzhen Guangdong 518109,P.R.China
关键词:
卡前列甲酯栓; 缩宫素; 瘢痕子宫剖宫产; 产后出血
Keywords:
carboprost methylate suppository; oxytocin; cesarean section; postpartum hemorrhage
分类号:
R 714.46+1
摘要:
目的探讨卡前列甲酯栓联合缩宫素对瘢痕子宫剖宫产患者产后出血的影响。方法 选择深圳市龙华新区人民医院2013年4月至2015年6月收治的200例瘢痕子宫产妇作为研究对象，其中单纯采用缩宫素预防治疗的为对照组，采用卡前列甲酯栓联合缩宫素进行预防产后出血治疗的为研究组，每组100例。统计分析两组术中、术后2 h、24 h出血量、第三产程时间及产后不良反应发生概率。结果研究组患者术中出血量、产后2 h出血量、产后24 h出血量、第三产程时间分别为（1746±285）mL、（1472±316）mL、（2501±543）mL、(723±101)min，均明显优于对照组［（2849±384）mL、（2414±458）mL、（3526±617）mL、(1391±052)min］(P＜005)；两组产妇术后呕吐、面色潮红、腹泻、腹痛等不良反应发生率比较，差异无统计学意义(P＞005)；研究组产妇产后出血发生率 (400 %)显著低于对照组 (1300 %) (P＜005)。结论卡前列甲酯栓联合缩宫素能明显促进子宫收缩，预防瘢痕子宫剖宫产产妇产后出血，且安全性较高，有很好的临床推广价值。
Abstract:
ObjectiveTo explore the effect of carboprost methylate suppository combined with oxytocin on postpartum hemorrhage in patients with scar uterus. Methods200 cases of pregnant women with scar uterus in People’s Hospital of Longhua New District from April 2013 to June 2015 were selected and divided into study group and control group，each group with 100 cases. Women in the control group were treated with oxytocin in the preventive treatment, women in the study group were using carboprost methylate suppository combined with oxytocin in the prevention and treatment of postpartum hemorrhage. Amount of bleeding during，2h and 24h after operation， third stage of labor time and adverse reactions postpartum of the two groups were compared. ResultsThe results showed that the amount of bleeding during，2h and 24h after operation，and the third stage of labor time in the study group ［(1746 ± 285) mL,(1472±316) mL,(2501 ± 543) mL, (723 ± 101)min］ were significantly better than the control group［（2849±384）mL、（2414±458）mL、（3526±617）mL、(1391±052)min］.The differences were statistical significant (P< 005); the rate of adverse reactions such as vomiting, facial flushing, diarrhea and abdominal pain in the two groups after cesarean section had no statistical significance (P> 005); the incidence of postpartum hemorrhage in the study group was 4%, which was significantly lower than of the control group (13%) (P< 005).ConclusionCarboprost methylate suppository combined with oxytocin has a significant effect in promoting uterine contraction, and preventing postpartum hemorrhage in patients with scarred uterine, which is safe for clinical promotion.

参考文献/References:

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更新日期/Last Update: 2017-02-25