卡孕栓与缩宫素应用于减少瘢痕子宫二次剖宫产术后出血的临床观察

Clinical observation on the effect of application of carbide suppository and oxytocin in reducing hemorrhage after secondary cesarean section for scar uterus

目的观察对瘢痕子宫患者实施二次剖宫产方案时联合使用缩宫素以及卡孕栓减少术后出血的临床效果。方法选取2016年6月~2016年10月妇产科接受二次剖宫产方案的瘢痕子宫患者80例,随机分为两组,常规组40例实施缩宫素方案,治疗组40例实施缩宫素方案联合卡孕栓方案,观察其术后出血状况。结果常规组40例患者术后2 h的出血量是(72.27±10.27)mL,术后24 h为(322.47±24.27)mL,术后排气时间(22.15±10.12)h,拔出尿管后首次排尿时间(6.41±1.65)h,治疗组分别为(52.45±8.88)mL、(260.27±14.27)mL、(7.12±1.58)h及(4.00±1.01)h,两组相比差异有统计学意义(P<0.05)。结论对于接受二次剖宫产方案的瘢痕子宫患者,实施缩宫素联合卡孕栓方案可使其术后整体出血量有效降低。

Objective To observe the clinical effect of combined use of oxytocin and cardinal suppository in the treatment of postoperative cesarean section in patients with scar wounds.Methods80patients with gut of uterus received from June2016to October2016were randomly divided into two groups,the conventional group of40cases of oxytocin program,the treatment group of40cases of oxytocin program combined with card pregnancy embolism program to observe the postoperative bleeding status.Results In40cases of normal group,the amount of blood of2h was(72.27±10.27)mL,and24h was(322.47±24.27)mL,and the postoperative discharge time was(22.15±10.12)h,the first urination time after extraction of the urethral tube was(6.41±1.65)h,The treatment group was(52.45±8.88)mL,(260.27±14.27)mL,(7.12±1.58)h and(4.00±1.01)h,and the difference was statistically significant(P<0.05).Conclusion For the patients with scar uterine underwent secondary cesarean section,the combination of oxytocin combined with card pregnancy suppository can reduce the overall amount of postoperative bleeding.