卡前列素氨丁三醇治疗子宫收缩乏力性产后出血临床分析.docVIP

卡前列素氨丁三醇治疗子宫收缩乏力性产后出血临床分析 　　[摘要] 目的 整理卡前列素氨丁三醇治疗该院子宫收缩乏力性产后出血患者的资料，对其临床效果进行分析。 方法 整群选取2013年3月―2015年3月该院治疗的子宫收缩乏力性产后出血患者96例，按照随机数字表法分为对照组和治疗组，每组48例，治疗组采用卡前列素氨丁三醇治疗，而对照组组采用西药缩宫素治疗，两组患者均按嘱咐用药，比较两组患者经治疗前后的出血状况、止血时间、有效率状况。 结果 经治疗后，临床疗效存在一定差异，在出血状况、止血时间的比较中，对照组（45±20）mL、（15±7）min明显高于治疗组（280±15）mL、（30±6）min，差异无统计学意义（P0.05）；治疗组的总有效率46例（95.7%）明显高于对照组的总有效率34例（79.2%），在统计学上有意义（P0.05）。结论 卡前列素氨丁三醇对子宫收缩乏力性产后出血症的治疗效果显著，止血更快，更安全，可进一步探索推广。 　　[Abstract] Objective To analyze the clinical effect by sorting data of romethamine treatment for patients with postpartum hemorrhage caused by uterine inertia in our hospital. Methods 96 cases of patients with postpartum hemorrhage caused by uterine inertia treated in our hospital from March 2013 to March 2015 were selected and randomly divided into two groups with 48 cases in each， the treatment group were treated with romethamine， the control group were treated with western medicine of oxytocin， both groups took mediations according to the order， the bleeding condition， hemostatic time and efficiency condition before and after treatment of the two groups were compared. Results After treatment， there was an difference in the clinical curative effect， the bleeding condition and hemostatic time in the control group were obviously higher than those in the treatment group，（45±20）ml，（15±7）min vs（280±15）ml，（30±6）min， and there was no statistical difference，（P0.05）； the total effective rate in the treatment group was obviously higher than that in the control group， （46 cases vs 34 cases）， （95.7% vs 79.2%）， the difference was statistically significant （P0.05）. Conclusion Romethamine in treatment of postpartum hemorrhage caused by uterine inertia has an obvious treatment effect， quicker hemostasis and more safe， which can be further explored and promoted. 　　[Key words] Romethamine； Uterine inertia； Postpartum hemorrhage； Clinical analysis 　　产后出血是孕妇分娩后24 h内失血的现象。通常失血量大于500 mL，在超过1 000 mL的剖宫产手术中，能造成死亡。导致产后出血的原因很多，主要有子宫收缩乏力，胎盘影响，软产道受到损伤等，最主要因素的是子宫收缩