垂体后叶素在剖宫产术中子宫肌瘤剥除术中应用评价.docVIP

垂体后叶素在剖宫产术中子宫肌瘤剥除术中应用评价 　　[摘要] 目的 探?垂体后叶素在剖宫产术中子宫肌瘤剥除术中的应用效果。 方法 研究对象选取2013年10月～2016年10月间我院收治的剖宫产术中同时行子宫肌瘤剥除术的患者100例，采用数字表法随机分为观察组和对照组各50例，观察组患者采用垂体后叶素进行子宫肌层注射，对照组患者采用缩宫素进行子宫肌层注射，对比两组患者的手术时间、术中出血量、术后出血量、住院时间。 结果 两组患者均顺利完成手术，观察组患者的手术时间、术中出血量、术后出血量、住院时间均显著低于对照组，差异有统计学意义（P0.05）。 结论 垂体后叶素应用于剖宫产术中子宫肌瘤剥除术疗效确切，与缩宫素相比能够更好地减少术中及术后出血，缩短手术时间，安全性较好，值得在临床上推广和应用 [关键词] 剖宫产；子宫肌瘤剥除术；垂体后叶素；缩宫素 [中图分类号] R737.33 [文献标识码] B [文章编号] 1673-9701（2017）11-0043-03 Evaluation of the application of pituitrin in the hysteromyomectomy for cesarean section WANG Lixia1 XIONG Kuanghui1 HUANG Yixin2 LIU Qinghua3 1.Department of Obstetrics and Gynecology， Zhejiang Medical and Health Group Hangzhou Hospital， Hangzhou 310022， China； 2.Department of Respiratory Medicine，Taizhou Hospital in Zhejiang Province， Linhai 317000， China； 3.Department of Anesthesiology， Duchang Maternal and Child Health Hospital in Jiangxi Province， Duchang 332600， China [Abstract] Objective To explore the effect of pituitrin on the hysteromyomectomy during cesarean section. Methods A total of 100 patients who underwent hysteromyomectomy during cesarean section from October 2013 to October 2016 were randomly divided into observation group （n=50） and control group （n=50）. The observation group was treated with pituitrin via uterine muscle injection， and the control group was treated with oxytocin via uterine muscle injection. The operation time， intraoperative blood loss， postoperative bleeding volume and hospitalization time between the two groups were compared. Results The surgery of patients in both groups were successfully completed. The operation time， intraoperative blood loss， postoperative bleeding volume and hospitalization time in the observation group were significantly lower than those in the control group， and the difference was significant（P0.05）. Conclusion The pituitrin has exact effect in the hysteromyomectomy during cesarean section， and can reduce the intraoperative and postoperative bleeding， which