摘要
目的观察卡前列甲酯栓(卡孕栓)对剖宫产术后病人的作用。方法选取足月妊娠产妇78例,随机分成两组,各39例。A组产妇胎儿娩出后舌下含服卡孕栓1mg,术后3d每天舌下含服卡孕栓0.5 mg;B组产妇术后每天静脉滴注缩宫素20U,连用3d。比较两组产妇产后出血量、子宫复旧情况及首次排气时间。结果术后2、24h出血量A组均明显少于B组,差异有显著性(F=5.855,P<0.05);术后第1、2、3天A组子宫复旧效果明显优于B组,差异有显著性(F=17.334,P<0.05);术后首次排气时间A组明显短于B组,差异有显著性(t=9.061,P<0.05)。结论剖宫产术后应用卡孕栓可有效预防及减少剖宫产术后出血,促进子宫复旧及胃肠功能恢复。
Objective To observe the effect of methyl earprost suppositories (MCS) on patients after cesarean section. Methods Seventy-eight pregnant women in term pregnancy were selected and evenly randomized to groups A and B. After delivery of baby, lying-in woman in group A was given sublingual MCS (1 mg), and 3 d later, the dose was changed to 0.5 mg/d. For those in group B, postoperative intravenous infusion of oxytocin 20 U was given daily for 3 d. Postoperative maternal hemorrhage, ute- rine involution and first exhaust time were compared between the two groups. Results In 2 and 24 h after the operation, the amount of bleeding in group A was significantly less than that in group ]3, the difference was significant (F=5.855,P〈0.05). On days 1,2 and 3 after surgery, uterine involution of group A was obviously better than that of group B (F=17.334,P〈0.05). The first exhaust time after operation in patients of group A was significantly shorter than that of group B (t =9.061 ,P〈0.05). Conclusion Postoperative application of methyl carprost suppositories can effectively prevent and reduce bleeding after cesarean section and promote uterine instauration and recovery of gastrointestinal function.
作者
薛杰
崔桦
王俊环
崔雪娜
徐金娥
XUE Jie CUI Hua WANG Junhuan CUI Xuena XU Jin'e(Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao 266003, Chin)
出处
《青岛大学医学院学报》
CAS
2016年第6期683-685,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
剖宫产术
手术后出血
卡前列甲酯栓
催产素
宫缩乏力
cesarean section
postoperative hemorrhage
earboprost methylate suppositories
oxytocin
uterine inertia