产后出血预测评估表联合缩宫素及卡前列素氨丁三醇预防产后出血的临床疗效观察

Observation on the clinical efficacy of postpartum hemorrhage prediction rating scale combined with oxytocin and carboprost tromethamine in the prevention of postpartum hemorrhage

目的观察产后出血预测评估表联合缩宫素及卡前列素氨丁三醇预防产后出血的临床疗效分析。方法将2018年1~8月在我院产科收治阴道分娩产妇5736例,仅采取静滴缩宫素预防产后出血设置为对照组。2019年1月我院开始应用产后出血预测评估表联合缩宫素及卡前列素氨丁三醇,将2019年1~8月产科收治阴道分娩产妇5963例设置为实验组。对照两组产妇产后出血发生率,产后不同时段平均出血量及宫缩强度。结果实验组患者产后2h出血率为0.84%,明显少于对照组的1.20%,且实验组患者产后不同时间段出血量明显少于对照组,在产妇产后不同时段,实验组产妇宫缩强度明显高于对照组,差异有统计学意义(P<0.05)。结论在产妇分娩前,采取产后出血预测评估表联合静脉滴注缩宫素及肌注卡前列素氨丁三醇,可明显减少产后不同时间段出血量,获得较高的宫缩强度,进而减少产妇产后出血率,效果理想,值得临床推广。

Objective To observe and analyze the clinical efficacy of postpartum hemorrhage prediction rating scale combined with oxytocin and carboprost tromethamine in the prevention of postpartum hemorrhage.Methods 5736 parturients with vaginal delivery(who received intravenous infusion of oxytocin alone to prevent postpartum hemorrhage)admitted and treated in the Department of Obstetrics of our hospital(from January to August 2018)were set as the control group.In January 2019,our hospital began to apply the postpartum hemorrhage prediction rating scale combined with oxytocin and carboprost tromethamine,and 5963 parturients with vaginal delivery admitted and treated in the Department of Obstetrics(from January to August 2019)were set as the experimental group.The incidence of postpartum hemorrhage,mean bleeding volume and uterine contraction intensity at different postpartum periods were compared between the two groups of parturients.Results The bleeding rate at 2 hours postpartum in the experimental group was 0.84%,which was significantly lower than that in the control group(1.20%);the bleeding volume of patients at different postpartum periods in the experimental group was significantly lower than that in the control group;at different postpartum periods,the uterine contraction intensity of parturients in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Before parturient delivery,the use of postpartum hemorrhage prediction rating scale combined with intravenous infusion of oxytocin and intramuscular injection of carboprost tromethamine can significantly reduce the bleeding volume at different postpartum periods,obtain higher uterine contraction intensity,and thus reduce the postpartum hemorrhage rate of parturients,with an ideal effect,which is worthy of clinical promotion.