摘要
目的分析麦角新碱联合缩宫素在瘢痕子宫剖宫产产妇中的应用效果。方法选取2018年1月~2019年1月我院收治的72例瘢痕子宫剖宫产产妇作为研究对象,通过双盲法将产妇分为A、B组,每组各36例。A组产妇单纯给予缩宫素,B组产妇给予麦角新碱联合缩宫素。观察两组患者的出血量、舒张压及收缩压、不良反应总发生率。结果B组产妇给药2、24 h后的出血量均少于A组,差异有统计学意义(P<0.05);B组产妇的舒张压[(65±4)mmHg]、收缩压[(110±10)mmHg]均低于A组[(68±7)、(117±13)mmHg],差异有统计学意义(P<0.05);B组产妇的不良反应总发生率为5.5%,低于A组的33.3%,差异有统计学意义(P<0.05)。结论为避免瘢痕子宫发生产后出血,通过麦角新碱联合缩宫素进行治疗的方式,可以提高患者的临床效果,降低不良反应发生率。
Objective To analyze the application effect of Ergometrine combined with Oxytocin in cesarean section of scarred uterus.Methods A total of 72 parturients with scar uterine cesarean section treated in our hospital from January 2018 to January 2019 were selected as the subjects,and divided into group A and group B by double-blind method,with 36 cases in each group.Group A was treated with Oxytocin alone,and group B was treated with Ergometrine combined with Oxytocin.The amount of bleeding,diastolic blood pressure,systolic blood pressure,total incidence of adverse reactions were observed in the two groups.Results The amount of bleeding in group B was less than that in group A after 2 and 24 hours administration,and the differences were statistically significant(P<0.05).The diastolic pressure([65±4]mmHg)and systolic pressure([110±10]mmHg)of group B were lower than those of group A([68±7],[117±13]mmHg),with statistically significant differences(P<0.05).The incidence of adverse reactions in group B was 5.5%,lower than 33.3%in group A,and the difference was statistically significant(P<0.05).Conclusion In order to avoid postpartum hemorrhage of scarred uterus,Ergometrine combined with Oxytocin should be adopted to improve the treatment effect of patients and reduce the incidence of adverse reactions.
作者
方李梅
柯莹
刘桂荣
FANG Li-mei;KE Ying;LIU Gui-rong(Department of Obstetrics,Ganzhou Maternal and Child Health Hospital,Jiangxi Province,Ganzhou 341000,China)
出处
《中国当代医药》
2020年第2期100-102,共3页
China Modern Medicine
基金
江西省赣州市卫生和计划生育委员会科研计划项目(2018-2-5)
关键词
麦角新碱
子宫下段肌层注射
瘢痕子宫
产后出血
Ergometrine
Intramuscular injection of lower uterine segment
Scarred uterus
Postpartum hemorrhage