止血环酸用于减少剖宫产后出血的临床观察及护理

Clinical observation and nursing reducing the postcesarean bleeding with tranemaxmic acid

目的探讨止血环酸用于剖宫产产后的止血效果和不良反应。方法80例足月妊娠剖宫产产妇分为止血环酸治疗组和对照组,每组40例。治疗组切皮前10min静脉缓慢注射止血环酸注射液1g。对照组不注射止血环酸。观察两组产妇胎盘娩出时及胎盘娩出后2h的出血量。结果治疗组出血量比对照组少,差异有显著性意义(P<0.05);胎盘娩出时、胎盘娩出后2h检查凝血酶原时间,治疗组比对照组缩短(P<0.05);纤维蛋白原含量治疗组比对照组多(P<0.05),差异有显著性意义。结论止血环酸用于剖宫产产后止血效果好,无不良反应。

Objective To investigate the hemostatic effect and side reactions of tranemaxmic acid during the post-cesarean section.Methods 80 term pregnance's cesarean puerperants were divided into test group and control group,40 cases for each group.1.0 g/10ml tranemaxmic acid and only 10ml N.S were injected intravenously 10 minutnes before operation in test and control groups respectively.The hemorrhage quantities were calculated at 2 hours after the placenta expulsion. Results The hemorrhage quantities of the test cases was statistically fewer than that of control cases(P<0.05),prothrombin time of the test cases was shorter than that of control cases at and 2 hours after placenta expulsion(P<0.05),the content of fibrinogen of test cases was more than that of control cases(P<0.05).Conclusion tranemaxmic acid is effective for hemostasis after cesarean section and have no side reactions.