两种方法防治未临产剖宫产产后出血的临床观察

Two method preventing and controlling has not been in labor splits the palace to produce postpartum hemorrhage the clinical observation

目的：观察术前静点葡萄糖酸钙配伍卡孕栓含服及静点小剂量缩宫素配伍卡孕栓纳肛防治未临产剖宫产产后出血效果.方法：选择155例未临产行子宫下段剖宫产术者分为3组,实验组Ⅰ术前20min静点10%葡萄糖酸钙10ml,胎儿娩出后舌下含服卡孕栓1mg、实验组Ⅱ术前1h静点小剂量缩宫素术后直肠放置卡孕栓1mg、对照组胎儿娩出后宫体注射10U缩宫素和静脉持续滴注缩宫素20U,观察三组术中、术后出血量的差异.结果：术中、术后2h、24h出血量实验Ⅰ、Ⅱ组明显少于对照组,差异具有统计学意义（P〈0.05）.结论：术前静点葡萄糖酸钙、小剂量缩宫素术中、术后联合卡前列甲酯栓用于未临产剖宫产可有效预防产后出血,且用药方法方便、疗效可靠、安全、副作用小.

Objective：In front of the observation technique the dead center calcium gluconate blends the card to be pregnant the hitch shrinks the palace element including the clothing and the dead center small dosage to blend the card to be pregnant the hitch to accept anus preventing and controlling not to be in labor splits the palace t（a produce postpartum hemorrhage effect. Methods：Chooses 155 examples not to be in labor the good womb lower segment to split the palace to produce the technique to divide into 3 groups,the experimental group I In front of the technique 20min dead center 10% calcium gluconate 10ml,after the embryo childbirth leaves under the tongue to be pregnant hitch lmg including the clothing card, the experimental group IT In front of after the technique the lh dead center small dosage shrinks the palace element technique the rectum laying aside card to be pregnant hitch ling, the control group embryo childbirth leaves the harem body to inject 10U to shrink the palace element and the vein continues the drop note to shrink palace element 20U, after observes in three groups of techniques, the technique bleeds the quantity the difference. Results： In after technique, technique 2h, 24h hemorrhage quantity experiment Ⅰ , Ⅱ The group obviously is short in the control group,the difference has statistics significance （P〈0.05）. Conclusion：In front of after the technique the dead center calcium glucohate, the small dosage shrink in the palace element technique, the technique unite the card front row methyl ester hitch to use in not being in labor split the palace to produce may prevent postpartum hemorrhage effectively, also medication method convenient, curative effect reliable,security,side dfect small.