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目的探析卡前列素氨丁三醇在产后出血中的预防作用。方法 60例分娩期间产后出血患者为研究资料,按照数字随机法将患者分为研究组和对照组,每组30例。两组患者均静脉滴注缩宫素治疗,在此基础上对照组予以宫体或者肌内注射缩宫素治疗,研究组予以宫体或者肌内注射卡前列素氨丁三醇治疗,观察比较两组患者的产后出血状况。结果研究组产后2、24 h出血量明显低于对照组,差异具有统计学意义(P<0.05);两组患者产后24 h的红细胞计数(RBC)及血红蛋白(Hb)下降值比较,差异具有统计学意义(P<0.05)。研究组产后出血率(13.33%)明显低于对照组(40.00%),差异具有统计学意义(P<0.05)。结论采用卡前列素氨丁三醇治疗产后出血患者,不仅能降低产后出血量,同时也能降低产后出血发生率,值得临床推广。
Objective To investigate the preventive effect of carboprost trometamol in postpartum hemorrhage. Methods Sixty cases of postpartum hemorrhage during childbirth were selected as research data. Patients were divided into study group and control group according to the digital randomization method, with 30 cases in each group. Two groups of patients were treated with oxytocin intravenously, on the basis of which the control group was treated with intrauterine or intramuscular injection of oxytocin, the study group was treated with carboplatin or intramuscular injection of tromethamine, observed and compared Postpartum hemorrhage in both groups. Results The amount of bleeding in study group was significantly lower than that in control group at 2 and 24 hours postpartum (P <0.05). Compared with the decline of red blood cell count (RBC) and hemoglobin (Hb) at 24 hours postpartum in both groups, the differences were statistically significant Statistical significance (P <0.05). Postpartum hemorrhage rate (13.33%) in the study group was significantly lower than that in the control group (40.00%), the difference was statistically significant (P <0.05). Conclusion The use of carboprost trometamol in patients with postpartum hemorrhage, not only can reduce the amount of postpartum hemorrhage, but also reduce the incidence of postpartum hemorrhage, worthy of clinical promotion.