卡前列素氨丁三醇治疗宫缩乏力产后出血128例临床观察.docVIP

精品论文 参考文献 卡前列素氨丁三醇治疗宫缩乏力产后出血128例临床观察 王娟 （淮南市妇幼保健院妇产科 安徽淮南 232007） 【摘要】目的 探讨卡前列素氨丁三醇治疗宫缩乏力产后出血的临床疗效。方法　回顾2011年7月-2012年12月我院收治的宫缩乏力性产后出血患者的临床资料，其中128例选用缩宫素联合卡前列素氨丁三醇治疗的患者为观察组，选用同期常规缩宫素治疗的128例宫缩乏力性产后出血为对照组，比较两组患者临床疗效，产后2h、24h的平均出血量，不良反应。结果　观察组治疗显效率和总有效率均明显高于对照组；观察组产后2h、24h的平均出血量均明显少于对照组，各组数据比较均有统计学意义（Plt;0.01）。观察组出现2例不良反应，占1.5%，无需处理即缓解，对照组没有不良反应。结论　应用卡前列素氨丁三醇治疗宫缩乏力产后出血，临床效果明显，安全性高。 【关键词】宫缩乏力性产后出血 卡前列素氨丁三醇 缩宫素 【中图分类号】R714 【文献标识码】A 【文章编号】2095-1752（2013）25-0063-02 Carboprost tromethamine treatment of uterine atony postpartum hemorrhage Clinical observation of 128 cases Wang Juan Huainan Maternal and Child Health Care Hospital, Department of Gynaecology and Obstetrics，Huainan232007,Anhui,China 【Abstract】 Objective: To investigate Carboprost tromethamine treat uterine atony postpartum hemorrhage clinical efficacy. Methods: Retrospective July 2011 -2012 in December in our hospital uterine atony postpartum hemorrhage clinical data, including 128 cases of joint use of oxytocin Carboprost tromethamine treated patients in the observation group, [two sets of sample size that much difference] oxytocin use conventional treatment period, 128 patients were the control group, two groups were compared clinical efficacy, postpartum 2h, 24h, the average amount of bleeding, adverse reactions. Results: The treatment of significant efficiency and total effective rate was significantly higher; observation group postpartum 2h, 24h, the average volume of blood loss was significantly less than the control group, each group of data were statistically significant (P lt;0.01). Observation group had two cases of adverse reactions, accounting for 1.5%, ie remission without treatment control group, no adverse reactions. Conclusion: Carboprost tromethamine treatment of uterine atony postpartum hemorrhage, the clinical effect is obvious, safe. 【Key words】uterine atony postpartum hemorrhage Carboprost tromethamine oxytocin 产后出血是分娩的