卡前列素氨丁三醇注射液联合宫腔填纱对剖宫产产后出血的临床价值

Clinical Value of Carboprost Tromethamine Injection and Uterine Packing in Postpartum Hemorrhage of Cesarean Section

目的探讨卡前列素氨丁三醇注射液联合宫腔填纱在剖宫产产后出血中的应用效果。方法将剖宫产产后出血患者52例随机分为两组,对照组26例给予缩宫素联合宫腔填纱治疗,观察组26例给予缩宫素联合宫腔填纱、卡前列素氨丁三醇注射液治疗,比较两组治疗效果。结果观察组舒张压、收缩压、脉搏频率低于对照组(P<0.05),血氧饱和度高于对照组(P<0.05),产后2 h出血量、产后24 h出血量少于对照组(P<0.05)。结论卡前列素氨丁三醇注射液联合宫腔填纱可减少剖宫产产后出血,稳定病情。

Objective To investigate the application effect of carboprost tromethamine injection and uterine packing in postpartum hemorrhage of cesarean section. Methods 52 patients with postpartum hemorrhage of cesarean section were randomly divided into two groups. 26 patients treated with oxytocin and uterine packing were taken as control group. 26 patients treated with oxytocin, uterine packing and carboprost tromethamine injection were taken as observation group. Treatment effect was compared between two groups. Results Diastolic blood pressure, systolic blood pressure, pulse frequency in observation group were lower than control group（P〈0. 05）. Oxygen saturation in observation group was higher than control group（P〈0. 05）. Postpartum 2 h hemorrhage volume, postpartum 24 h hemorrhage volume in observation group were less than control group（P〈0. 05）. Conclusion Carboprost tromethamine injection and uterine packing can reduce postpartum hemorrhage of cesarean section, which can keep stable condition.[Key words] Carboprost tromethamine injection, Uterine packing, Cesarean