欣母沛联合垂体后叶素预防前置胎盘剖宫产产后出血的探讨.docVIP

欣母沛联合垂体后叶素预防前置胎盘剖宫产产后出血的探讨 　　[摘要] 目的 分析欣母沛联合垂体叶素预防前置胎盘剖宫产产后出血临床效果。方法 整群选取该院2012年11月―2014年11月所收治的因前置胎盘行剖宫产产妇82例；随机将其分为对照组（41）例，观察组（41）例，对照组41例产妇注射欣母沛250；观察组产妇给予欣母沛250联合子宫下段及胎盘剥离出血位置多点注射垂体后叶素；患者均给予静脉滴注20 U缩宫素。 结果 观察组产妇术中出血量少于对照组，产妇产后2 h和产后24 h平均出血量有效减少，观察组产妇产后出血发生率少于对照组。 结论 欣母沛联合垂体后叶素预防治疗前置胎盘而引发产后出血效果良好，值得临床推广及广泛应用。 中国论文网 /6/view-7249543.htm 　　[关键词] 欣母沛；垂体后叶素；前置胎盘剖宫产；产后出血 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0110-03 　　Study on Hemabate Combined with Pituitrin in Preventing Postpartum Hemorrhage after Cesarean Section Caused by Placenta Praevia 　　CHEN Mei-na 　　Obstetrics and Gynecology Department， Xiamen Third Hospital， Xiamen， Fujian Province， 361100 China 　　[Abstract] Objective To analyze the clinical effect of hemabate combined with pituitrin in preventing postpartum hemorrhage after cesarean section caused by placenta praevia. Methods 82 cases of puerperas with cesarean section caused by placenta praevia treated in our hospital from November 2012 to November 2014 were selected and randomly divided into two groups with 41 cases in each， the control group were injected with hemabate 250， the observation group were given hemabate 250 combined with multi-point injection of pituitrin in the position of lower uterine segment and placenta separation hemorrhage， all patients were given intravenous infusion of 20u oxytocin. Results The intraoperative blood loss in the observation group was less than that in the control group， the average blood loss was effectively decreased at postpartum 2 hours and 24 hours， the incidence of postpartum hemorrhage in the observation group was lower than that in the control group. Conclusion Hemabate combined with pituitrin in preventing postpartum hemorrhage after cesarean section caused by placenta praevia has a good effect， which is worth clinical promotion and wide application. 　　[Key words] Hemabate； Pituitrin； Cesarean section caused by placenta praevia； Postpartum hemorrhage 　　前置胎盘属妊娠晚期出血的常见诱因，该病症处理主要是对产妇行剖宫产，不过剖