卡前列素氨丁三醇对产后出血高危患者的应用时机及效果探讨

目的：探讨卡前列素氨丁三醇（欣母沛）对有产后出血高危因素患者的应用时机及效果.方法：选取2009年6月至2010年6月我院收治的120例分娩有产后出血高危因素的产妇,随机分为观察组和对照组,对照组在胎儿娩出后经按摩子宫、使用缩宫素等常规方法促进子宫收缩无效后,再给予欣母沛治疗.观察组直接预防性应用欣母沛,比较两组产妇的术中出血量、术后24h内出血量及血红蛋白下降值.结果：观察组在术中出血量、术后24h内出血量及血红蛋白下降等方面均显著优于对照组,P〈0.05.结论：对有产后出血高危因素的患者预防性的应用欣母沛能够增强子宫收缩力,预防产后出血,值得临床推广.

Objective to explore the front row element ammonia butyl three card tetrahydrocannabinol （hin for female copious） patients with risk factors for postpartum hemorrhage of timing and application effect. Methods select June 2009 to June 2010 were 120 cases of our birth has postpartum hemorrhage risk factors, the mothers were randomly divided into observation and control group and the control group in fetal childbirth after massage uterus, using conventional methods to promote such as oxytocin after uterine contraction, then give bin invalid mother copious treatment. The obser- vation group direct preventive application bin, compare two sets of female copious women and postoperative peri--operative bleeding within 24h bleed- ing and hemoglobin drop value. Results the observation group in peri--operative bleeding within 24h, postoperative bleeding and hemoglobin decline, etc were significantly better than control group, P 〈 0.05. Conclusion to the risk factors for postpartum hemorrhage patients preventive application bin pei can enhance female uterine contraction force, prevent postpartum hemorrhage, worth clinical promotion.