摘要
目的 对生化汤联合卡前列素氨丁三醇治疗宫缩乏力性产后出血的治疗效果进行探究。方法 选取2012年12月到2016 年12月间在我院进行治疗的27例患者作为研究对象,依随机数字的方法分为实验组与对照组。实验组14例,对照组 13例,对照组患者单纯使用卡前列素氨丁三醇治疗,实验组患者在在对照组的基础上使用生化汤治疗,观察两组患 者第三产程用时、产后2小时以及24小时的出血量,同时观察两组患者的不良反应情况。结果 实验组患者在第三产 程用时(6.35±1.19)min明显短于对照组(9.89±2.87)min,实验组产后2小时出血量(179.56±24.68)ml、24小时出 血量(243.78±33.21)ml低于对照组产后2小时出血量(198.24±19.61)ml、24小时出血量(343.29±41.56)ml,实验 组不良反应发生率(0%)明显低于对照组(23.07%),差异均具有统计学意义(P<0.05)。结论 对因宫缩乏力造成的 产后出血患者使用生化汤联合卡前列素氨丁三醇治疗,能够明显降低患者的术后出血量,缩短产程时间,降低术后 并发症的发生率,可进一步在临床中总结应用。
Objective To explore the biochemical decoction combined with carboprost ammonia butyl alcohol three in treatment of uterine atony postpartum hemorrhage curative effect. Methods From December 2012 to December 2016 in our hospital for treatment of 27 patients as the research object, according to randomly divided into experimental group and control group. 14 cases in the experimental group, 13 cases in the control group,the control group were treated with carboprost ammonia butyl alcohol three treatment, patients in the experimental group using biochemical Decoction based on the control group, two groups were observed in patients with third labor time, 2 hours and 24 hours postpartum hemorrhage, and observe the adverse reactions of the two groups. Results The experimental group in the third labor time was significantly shorter than that of the control group [(6.35+1.19) min vs. (9.89+2.87) min], the amount of postpartum bleeding in 2 and 24 hours of experimental group were less than those of control group [(179.56+24.68) ml vs. (198.24+19.61) ml, (243.78+33.21) ml vs. (343.29+41.56) ml], the adverse effects rate of experimental group) was significantly lower than that of control group ((0% vs. 23.07%), all of the differences were statistically significant (P<0.05). Conclusion The postpartum hemorrhage caused by uterine inertia in patients with biochemical decoction combined with carboprost ammonia butyl alcohol three treatment, can significantly reduce the patient's bleeding after the operation, shorten labor time, reduce the incidence of postoperative complications, can be summarized in the clinical application.
【关键词】生化汤;卡前列素氨丁三醇;产后出血;临床效果
【中图分类号】R714.46
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.01.024
前言
产后出血是导致我国产妇死亡的主要因素之一, 具体是指胎儿产出后,在24小时内产妇的出血量大于 500 ml,这也是产科中比较常见的并发症之一,也是 比较危险的并发症之一[1]。导致产后出血的原因有很 多,例如子宫收缩乏力、胎盘因素、软产道以及凝血障碍等因素,其中子宫收缩乏力是导致产后出血的主 要原因,有超过50%的产妇都是由于这个因素导致产 后出血的。如果产妇在怀胎的过程中羊水过多,瘢痕 妊娠或者是多胎妊娠,就会导致产妇产后出血过多, 在临床的实践中通常使用缩宫素来降低产后出血的发生率[2]。随着我国医学事业的不断发展,治疗产后出 血的药物也越来越多,本文将对生化汤联合卡前列素 氨丁三醇治疗因宫缩乏力导致的产后出血的27例患者 进行探究,具有明显的效果,现将结果报道如下。
罕少疾病杂志
第25卷, 第 1 期
2019年11月
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