欣母沛减少剖宫产术中出血的观察.pdfVIP

韩传宝等 欣母沛减少剖宫产术中出血的观察 第4期 · 477· 研究．中华血栓与止血杂志，2003，19(1)：l8～20 (2007-08-08 修回) 5 郝增平，黄建平，吴珊珊．血凝酶对剖宫产术中Lq{血的影响．中 [编校 崔建华] 国新药与临床杂志，2005，24(3)：248～249 欣母沛减少剖宫产术中出血的观察 韩传宝 刘 华 钱燕宁 陈祖萍 南京医科大学一附院江苏省妇幼卫生保健中心 (江苏 南京) 210036 中国图书分类号 R714 文献标识码 B 文章编号 1001-4411(2008)04-0477-02 【摘 要】 目的：观察欣母沛用于剖宫产术中预防和减少术中出血的效果。方法：选择足月行子宫下段剖宫产的产妇4o 例，按胎儿娩出后宫体注射药物的不同随机分成欣母沛组和缩宫素两组，每组20例，比较其预防和减少术中出血的效果及产生 的不良反应。结果：欣母沛组术中出血量显著少于缩宫素组 (P0．01)，平均约减少159 ml；同时，欣母沛组产妇恶心、呕吐、 胸闷和颜面潮红等副作用的发生率显著高于缩宫素组 (P0．O1)。结论：欣母沛用于剖宫产手术能有效的减少术中出血，用时 要注意其不良反应的发生。 【关键词】 出血 剖宫产 欣母沛 Observation on hemabate for reducti0n 0f hemorrhage in caesarean secion HAN Chuan—Bao，MU Hua，QIAN Yan—Ning et a1．First Ag~liated Hospital，Nanjing University Medical School， Jiangsu Province Healthcare Centerfor Women and Children，Nanjing 210036，Jiangsu，China [Abstract] Objective：To determine the effect of hemabate in prevention and reduction of hemorrhage in caesarean section．Methods：Forty parturient women underwent caesarean section were randomly divided into two groups according to different drugs for the injection into their uterine corpus immediately after fetal disengagement with twenty parturient women in each group，or group 1 was hemabate and group H was oxytocin．Results：The mean blood loss welt~significantly less in the hemabate group than that in oxytocin group (P0．01)，and the average hemorrhage was 159 m1．The rate of nausea and vomiting and chest distress and blushing was also higher(P 0．01)．Conclusion：Hemabate is very effective in prevention and reduction of hemorrhage in caesarean’section，but its adverse reaction should be paid attention to． [Key words] Hemorrhage；Caesarean section；Hemabate 目前多数医院在剖宫产术中以缩宫素来促进子宫收缩， 做好Bp、SpO，、HR、RR监测。选择前臂浅静脉开放通路， 减少术中和产后出血。当孕妇并存有多胎妊娠、巨大儿、羊 输注乳酸林格氏液。左侧卧位， 间隙穿刺，头向置管行连