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欣母沛在预防和治疗宫缩乏力性产后出血的最佳应用时机及效果研究 被引量:16

Prevention of postpartum hemorrhage and diverticulum in scarred uterus with oxytocin and hemabate
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摘要 目的探讨欣母沛在预防和治疗宫缩乏力性产后出血的最佳应用时机及效果。方法选取2014年10月~2016年10月期间本院收治的具有出血倾向的产妇作为研究对象,共选择168例,随机将其分为3组,各56例,其中A组为分娩后立即使用欣母沛,B组为出现宫缩乏力是使用欣母沛,C组不使用欣母沛,对3组患者的术中出血量和产后出血量进行比较分析。结果A组相患者术中出血量、产后2h出血量及产后24h出血量与B组和C组与比,均明显偏低(P<0.05);B组患者产后2h出血量及产后24h出血量与C组相比均明显偏低(P<0.05);A组患者产后大出血发生率3.57%,显著低于B组的14.28%和C组的30.36%(P<0.05);B组患者产后大出血发生率14.28%,显著低于C组的30.36%(P<0.05)。结论对宫缩乏力性产后出血采用欣母沛预防和治疗具有明显的效果,而最佳应用实际为胎儿分娩后立即使用,能够进一步降低产后出血量,保证产妇安全。 Objective To investigate the best application time and effect of the prevention and treatment of postpartum hemorrhage causedby uterine atony.Methods A total of168women with bleeding tendency were treated in our hospital from October2014to October2016.Theywere randomly divided into three groups,56cases each.Among them,A group was used immediately after delivery,and group B was sufferingfrom uterine atony,which was the use of hemabate,and C group did not use hemabate.The blood loss and the amount of postpartum hemorrhagein the three groups were compared and analyzed.Results Compared with group B and C,the amount of bleeding,the amount of bleeding in the2hours postpartum and the amount of24hours postpartum hemorrhage in group A were significantly lower than that in group(P<0.05).The2hourspostpartum bleeding volume and24hours postpartum hemorrhage in group B were significantly lower than that in group C(P<0.05).The incidenceof postpartum hemorrhage in group A was3.57%,significantly lower than that in group B,group14.28%and group C,30.36%(P<0.05).Theincidence of postpartum hemorrhage in group B was14.28%,significantly lower than that in group C(30.36%)(P<0.05).Conclusion To preventand treat uterine atony postpartum hemorrhage,it is effective to prevent and treat postpartum hemorrhage.And the best application for the immediateuse of fetal labor,can further reduce the amount of postpartum hemorrhage,to ensure maternal safety.
作者 贺蓓 HE Bei(Department of Gynaecology, Chang’an Hospital, Xi’an 710016, China)
出处 《中国生化药物杂志》 CAS 2017年第9期129-130,132,共3页 Chinese Journal of Biochemical Pharmaceutics
关键词 欣母沛 宫缩乏力性产后出血 应用时机 hemabate uterine atony postpartum hemorrhage application time
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