卡前列素防治高危产妇剖宫产术中及术后出血的临床分析.docVIP

卡前列素防治高危产妇剖宫产术中及术后出血的临床分析 　　doi：10.3969/j.issn.1007-614x.2014.10.28 　　摘 要 目的：探讨卡前列素防治高危产妇剖宫产术中及术后出血的效果，以供参考。方法：收治剖宫产分娩的高危产妇87例，随机分为对照组和试验组。胎儿娩出后，对照组宫体注射缩宫素，试验组宫体注射卡前列素氨丁三醇。对比两组产妇术中出血量、术后2小时出血量、术后24小时出血量的差异性。结果：与对照组对比，试验组产妇术中出血量、术后2小时出血量、术后24小时出血量均明显较少，组间差异有统计学意义（P0.05）。结论：对产后出血高危产妇剖宫产术中应用卡前列素可有效减少术中及术后出血量，对预防产后出血具有积极的临床意义。 　　关键词 卡前列素 高危产妇 剖宫产 出血 　　Clinical analysis of carboprost in the prevention and treatment of cesarean section intranperative and postoperative hemorrhage of high risk maternal 　　Huang Wenying 　　Department of Obstetrics and Gynecology，the Maternal and Child Health Hospital of Tengchou City，Zaozhuang City，Shandong 　　277500 　　Abstract Objective：To investigate the effect of carboprost in the prevention and treatment of cesarean section intranperative and postoperative hemorrhage of high risk maternal，in order to provide a reference.Methods：87 patients with high risk maternal who had cesarean delivery.They were randomly divided into the experimental group and the control group.After delivery of fetus，the control group were given intrauterine injection of oxytocin，the experimental group were given intrauterine injection of carboprost tromethamine.We compared the amount of bleeding intraoperatve，the amount of bleeding postoperative 2 hours，the amount of bleeding postoperative 24 hours of the maternals in two groups.Results：Compared with the control group，we found that the amount of bleeding intraoperatve，the amount of bleeding postoperative 2 hours，and the amount of bleeding postoperative 24 hours of the maternal in the experimental group were significantly less，the differences between two groups were statistically significant（P0.05）.Conclusion：We use carboprost can effectively reduce intraoperative and postoperative hemorrhage in the high risk of maternal postpartum bleeding of cesarean section，it has positive clinical significance on the prevention of postpartum hemorrhage. 　　Key words Carboprost；High risk maternal；Cesarean section；Hemorrha