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氨甲环酸减少选择性剖宫产产后出血量的临床观察 被引量:13

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摘要 目的探讨氨甲环酸(TXA)用于减少选择性剖宫产产后出血量的有效性和安全性。方法选取138例选择性剖宫产分娩的产妇,分为TXA组和对照组。剖宫产术前10~30 min,TXA组产妇静脉推注含TXA1.0 g/10 ml的5%葡萄糖溶液20 ml,对照组产妇仅予5%葡萄糖溶液30 ml。比较两组产妇围手术期生命体征、出血量及凝血相关指标以及两组新生儿负性事件发生情况。结果 (1)TXA组产妇术中、术后2 h和术后24 h出血量显著低于对照组(P<0.05);TXA组产后出血(PPH)发生率也显著低于对照组(P<0.05);(2)术后48 h与术前比较,TXA组产妇外周血血红蛋白(Hb)、红细胞压积(HCT)、血小板计数(PLT)和纤维蛋白原(FIB)的降幅明显小于对照组(P<0.05);(3)两组产妇围手术期消化道不良反应和术后血栓发生率比较,差异无统计学意义(P>0.05);两组新生儿窒息和转至重症监护(NICU)治疗率比较,差异无统计学意义(P>0.05)。结论选择性剖宫产术前使用TXA对减少产后出血量具有一定的有效性和安全性。
出处 《中国妇产科临床杂志》 CSCD 北大核心 2017年第5期454-455,共2页 Chinese Journal of Clinical Obstetrics and Gynecology
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