缩宫素不同给药方法在剖宫产术中的应用效果分析

Effect of different administration methods of oxytocin in the cesarean delivery

目的:探讨不同缩宫素使用方法的临床效果。方法:本文以我院2011年1月至2013年1月间收治的妇产科合并症且要求进行剖宫产分娩的产妇128例为研究对象,按入院时间分为静滴组和静推组,两组患者在胎儿娩出后均子宫肌层推注10U缩宫素,静推组患者另将10U缩宫素稀释后推注,静滴组另将10U缩宫素稀释后重新建立通路滴注,比较其临床效果。结果:静滴组患者术后血压和心率较为平稳,心电图ST-T值变化无显著差异,术后出血量和胎盘剥离时间少于静推组,并发症发生率低于静推组。结论:胎儿娩出后使用中度剂量缩宫素子宫肌层推注,之后结合中度剂量缩宫素缓慢滴注的使用方法,可以有效降低缩宫素所致低血压和心动过速,提高临床应用效果,并降低并发症的发生风险。

Objectives： To analyze the clinical effect of different administration methods of oxytocin in the cesarean delivery. Methods： 128 puerpera with cesarean delivery were selected and randomly divided into twogroup based on the hospital admission time. The IOU oxytocin was used in all the puerpera after the fetal childbirth. Then, the IOU oxytocin was used in the control group with intravenous injection and the same amount oxytocin was used in the objective group with intravenous drip. The difference in clinical effect was compared between the two groups. Results： The blood pressure and heart rate in the objective group were gentler than those in the control group. The postoperative blood loss, falling out time of placenta and incidence of complication in the objective group were lower than these in the control group. Conclusion： It can get positive effect to use oxytocin in the cesarean delivery with intravenous drip after the fetal childbirth.