卡前列素氨丁三醇预防性用于产后出血高危因素产妇疗效观察

Efficacy of the Carboprost tromethamine on preventive maternal risk factors on postpartum hemorrhage

目的：探讨卡前列素氨丁三醇预防性用于产后出血高危因素产妇的临床效果。方法选2014年3月至12月62例产后出血高危因素产妇作为探究对象，按照随机数字表法将所有患者分为对照组和分析组，对照组待胎儿分娩后予以缩宫素缓慢静脉滴注，胎盘娩出后给予缩宫素肌肉注射，分析组待胎儿娩出后给予卡前列素氨丁三醇，比较两组患者治疗效果、术后出血量及出血发生率。结果分析组孕产妇治疗总有效率为93.5％，对照组为71.0％，两组比较差异有统计学意义（P ＜0.05）；分析组产后出血发生率和产后不同时刻出血量显著优于对照组（P ＜0.05）。结论卡前列素氨丁三醇预防性用于产后高危因素出血产妇临床效果明显，且能有效地降低产后出血发生率。

Objective To investigate the clinical preventive effect of Carboprost tromethamine on maternal with high risk factors for postpartum hemorrhage. Methods Sixty-two cases of postpartum hem-orrhage were treated from March 2014 to December 2014 who had maternal risk factors were chosen as ex-plore objects. According to the random number table,all patients were divided into control group and an-alyzed group. The control group was given slow intravenous infusion of oxytocin after delivery of the pla-centa within given oxytocin injections Suji,and the analyzed group was given the fetus carboprost tromethamine after delivery ,and patient outcomes were compared and the amount of postoperative bleed-ing and bleeding rates. Results The total effective rate in the analyzed group was 93. 5% ,and the total effective rate was 71. 0% in the control group,the difference was significant（P 〈 0. 05）;the incidence of postpartum hemorrhage and postpartum hemorrhage different moments was significantly better than those of the control group（P 〈 0. 05）. Conclusions Carboprost tromethamine preventive risk factors for postpartum hemorrhage maternal clinical effect is obvious,and can effectively reduce the incidence of postpartum hemorrhage.