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卡前列素氨丁三醇联合宫腔纱条填塞治疗宫缩乏力性产后出血效果观察
白静,李毅,李娜,唐云琳,蒲丽,罗方野
0
(广安市人民医院产科)
摘要:
【摘要】 目的 探析剖宫产后再次妊娠剖宫产子宫收缩乏力应用卡前列素氨丁三醇联合宫腔纱条填塞治疗产后出血的临床效果。方法 选择2015年1月~2017年1月期间收治的剖宫产后再次妊娠剖宫产术中子宫收缩乏力患者70例为研究对象,随机分为两组,其中给予对照组常规止血治疗,而观察组则应用卡前列素氨丁三醇和宫腔纱条填塞联合治疗,对两组的治疗效果进行对比分析。结果 与对照组比较,观察组产后2h和24h出血量均较少,组间比较差异显著(P<005);观察组的术后并发症发生率较低,但是组间比较无明显差异(P>005);同时,两组的住院时间、血红蛋白含量比较差异有统计学意义(P<005)。结论 卡前列素氨丁三醇联合宫腔纱条填塞治疗剖宫产后再次妊娠剖宫产子宫收缩乏力性产后出血,具有起效快、效果确切及不良反应少等优点,可安全地用于临床。
关键词:  产后出血  宫腔纱条填塞  卡前列素氨丁三醇
DOI:
基金项目:
The preventive effect of carboprost tromethamineon with intrauterine packing with gauze postpartum hemorrhage due to uterine atony.
BAI Jing,LI Yi,LI Na,TANG Yunling,PU Li,LUO Fangye
(Guang’an People’s Hospital)
Abstract:
【Abstract】 Objective To explore the clinical preventive effect of carboprost tromethamine injection and intrauterine packing with gauze postpartum hemorrhage due to uterine atony in patients of cesarean section uterine scar with sebsquent pregnancy. Methods Clinical date of 70 patients uterine atony after repeat cesarean section admitted to our hospital between January 2015 and January 2017 were randomly divided into control group and observation group. The control group received the routine hemostatic treatment, and the observation group received carboprost tromethamine injection and gauze combination therapy. The treatment effect was observed. Results The blood loss after dilivery in 2 hour and 24 hour of observation group were significantly lower than that of control group (P< 005). There were significant differences between hospitalization time and hemoglobin between the two groups (P<005). Conclusion Preventive effect of carboprost tromethamine injection and intrauterine packing with gauze postpartum hemorrhage due to uterine atony in patients of cesarean section uterine scar with sebsquent pregnancy is a safe and effective method to control bleeding and has the advantages of work fast and less adverse reactions.
Key words:  Postpartum hemorrhage  Uterine gauze  Carboprost tromethamine injection

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