卡前列素氨丁三醇在中央型前置胎盘剖宫产术中的应用时机探讨.docVIP

精品论文 参考文献 卡前列素氨丁三醇在中央型前置胎盘剖宫产术中的应用时机探讨 中南大学湘雅二医院 湖南长沙 410007 【摘 要】目的：探讨卡前列素氨丁三醇在中央性前置胎盘孕妇剖宫产时的应用时机以及对患者术后影响。方法：选取有剖宫产指征且术中诊断为中央型前置胎盘 62例，随机分为观察组和常规组，各31例，观察组患者在胎儿娩出后立即给予卡前列素氨丁三醇联合缩宫素进行治疗，常规组在胎儿娩出后应用缩宫素进行治疗，在出血超过300ml后才加用卡前列素氨丁三醇进行治疗，对比两组治疗效果。结果：①观察组术中出血量与24小时总出血量明显低于常规组，差异有统计学意义（Plt;0.05）；总住院时间两组差异无统计学意义（Pgt;0.05）；② 相对比对照组，观察组产后子宫底下降速度更快，恶露持续时间明显缩短，差异有统计学意义（Plt;0.01），而宫缩持续时间两组差异无统计学意义（P＞0.05）；③两组患者术后FIB和D-二聚体明显低于术前，差异有统计学意义（t=7.08，Plt;0.05）；观察组FIB和D-二聚体明显低于对照组，差异有统计学意义（t=9.74，Plt;0.05）。结论：对中央型前置胎盘的患者，在产后立即给予卡前列素氨丁三醇对预防产后出血效果显著。 【关键词】卡前列素氨丁三醇；中央型前置胎盘；剖宫产术；术后出血 Analysis on Application of Carboprost Tromethamine in Cesarean Section for Central Placenta Previa Jianhua Gao Peoplersquo;s Hospital of City Dongfang in Hainan province Hainan Dongfang 572600 [Abstract]Objectives：To determine the time to apply carboprost tromethamine in cesarean section for central placenta previa and observe how time works on therapeutic effect.Methods：This study was conducted on 62 puerperas who were diagnosed as central placenta previa during cesarean section.These patients were randomly grouped as observational group and routine therapeutic group，equal in number.In observational group，the patients were injected carboprost tromethamine and oxytocin after the baby was delivered.In routine therapeutic group，patients were injected oxytocin only and would not injected carboprost tromethamine until bleed more than 300 ml.Different therapeutic effects in these two groups were compared.Results：○1 The hemorrhage of observational group was much lower than that of routine therapeutic group，no matter during the operation or 24 hours after the operation，having significant difference（Pgt;0.05）；their difference in hospital stays was not significant（Plt;0.05）；○2In comparison with the contrast group，observation group had a significantly quicker falling speed of ulerine bottom after delivery and shorter duration of lochia.The difference has a st