卡孕栓在预防和治疗剖宫产产后出血及术后恢复中的临床疗效

Clinical efficacy of methyl carboprost suppository in prevention and treatment of postpartum hemorrhage and postoperative recovery of cesarean section

目的探究卡孕栓在预防和治疗剖宫产产后出血及术后恢复中的临床疗效。方法将我院收治105例剖宫产产妇,按照住院时间先后顺序将其分为参考组(52例)与研究组(53例)。给予参考组产妇缩宫素治疗,给予研究组产妇卡孕栓+缩宫素治疗。比较两组产妇术中、术后出血量、不良反应发生情况、术后肠功能恢复情况。结果研究组产妇术中及术后2、24 h出血量均少于参考组(P<0.05);两组产妇不良反应总发生率比较,差异无统计学意义(P>0.05);研究组产妇肠鸣音恢复时间和肛门首次排气时间显著短于参考组(P<0.05)。结论在剖宫产产妇中应用卡孕栓进行治疗,可有效预防产后出血,缩短产妇术后恢复时间,且安全性较高,适合推广。

Objective To explore the clinical efficacy of methyl carboprost suppository in prevention and treatment ofpostpartum hemorrhage and postoperative recovery of cesarean section. Methods One hundred and five cesarean sectionpuerperas admitted in our hospital were selected and divided into reference group （52 cases） and study group （53 cases）according to the sequence of hospitalization time. The reference group was given oxytocin, while the study group was givenmethyl carboprost suppository＋oxytocin. The intraoperative and postoperative blood loss, the occurrences of adverse reactionsand postoperative recovery of intestinal function were compared between the two groups. Results The intraoperative bloodloss and blood loss at postoperative 2 and 24h in the study group were lower than those in the reference group （P〈0.05）.There was no significant difference in the total incidences of adverse reactions between the two groups（P〉0.05）. The recoverytime of bowel sounds and the first exhaust time of anus in the study group were significantly shorter than those in thereference group （P〈0.05）. Conclusion Methyl carboprost suppository on cesarean section puerperas, can effectively preventpostpartum hemorrhage, shorten the postoperative recovery time, with high safety, which is suitable to apply and popularize.