子宫收缩弛缓产后出血产妇使用卡前列素氨丁三醇注射液止血的效果观察

The effect of carboprost tromethamine injection for the puerpera with symptoms of uterine contraction atony and postpartum hemorrhage

目的：观察卡前列素氨丁三醇对产妇子宫收缩弛缓产后出血的临床疗效,以期为产妇子宫收缩弛缓产后出血的治疗提供借鉴。方法：选取在2014年5月-2015年5月入住我院妇产科且子宫收缩弛缓产后出血不超过2000 ml的产妇60例为研究对象,将产妇随机等分为两组,对照组应用20 IU缩宫素治疗;试验组应用250μg卡前列素氨丁三醇治疗,观察对比产后出血量及止血效果。结果：试验组疗效优于对照组（P〈0.05）,出血量少于对照组。结论：应用卡前列素氨丁三醇治疗产妇子宫收缩弛缓产后出血,减少宫缩乏力产后出血,效果较好,值得临床推广。

Objective：To observe the clinical effects of carboprost tromethamine injection for the puerpera with symptoms of uterine contraction atony and postpartum hemorrhage and provide reference for the therapy of the puerpera with symptoms of uterine contraction atony and postpartum hemorrhage.Methods：Selected 60 cases of puerperae with symptoms of uterine contraction atony and postpartum hemorrhage not exceeding 2000 ml in our hospital from May2014 to May 2015 as research objects and equally divided them into experimental group and control group at random.The control group was given 20 IU oxytocin injection and the experimental group was given 250 μg carboprost tromethamine injection.Then observed and compared the amount of postpartum hemorrhage and hemostatic effect.Results：The therapy for experimental group was better than the control group as for the amount of postpartum hemorrhage of puerperae in the experimental group was less than that of the control group.Conclusion：The application of carboprost tromethamine injection for the puerpera with symptoms of uterine contractions atony and postpartum hemorrhage can effectively reduce the uterine contraction atony amount of postpartum hemorrhage and it is worthy of clinical popularization.