摘要
目的观察缩宫素、益母草注射液、卡前列素氨丁三醇三者联合应用在预防高危孕妇剖宫产产后出血的疗效。方法选取2018年1—12月期间在该院剖宫产的高危孕妇300例,对照组的150例产妇采用缩宫素10 U、益母草2 mL胎儿娩出后立即宫体注射;观察组的150例产妇采用缩宫素10 U、益母草2 mL、卡前列素氨丁三醇胎儿娩出后立即宫体注射。两组术中均配合有控的脐带牵拉。结果观察组产妇术中出血量(123.65±13.96)mL、术后2 h出血量(40.85±3.22)mL、术后24 h出血量(86.54±5.79)mL、恶露持续时间(12.69±2.54)d、产后3 d宫底高度(13.69±1.78)cm、产后7 d宫底高度(10.28±1.42)cm、Hb(98.56±5.43)g/L、D-dimer(1.12±0.28)mg/L、FIB(3.15±0.42)g/mL均优于对照组(t=89.653、15.652、28.957、13.754、3.126、3.054、28.654、2.144、2.040,P<0.05)。结论在剖宫产术中应用缩宫素、益母草注射液、卡前列素氨丁三醇宫体注射,预防高危孕妇剖宫产术中、术后出血效果显著,且术后并发症降低,子宫复旧好。
Objective To observe the curative effect of oxytocin,motherwort injection and carprostamine tromethamine in the prevention of postpartum hemorrhage in high-risk pregnant women.Methods A total of 300 high-risk pregnant women who had a cesarean section in the hospital between January and December 2018 were selected.150 women in the control group received 10 units of oxytocin and 2 mL of motherwort immediately after delivery.The 150 women in the observation group were given 10 units of oxytocin,2 ml of motherwort,and carprostamine tromethamine for intrauterine injection immediately after delivery.Both groups cooperated with con-trolled umbilical cord traction during operation.Results In the observation group,the intraoperative maternal blood loss(123.65±13.96)mL,2 hours postoperative blood loss(40.85±3.22)mL,24-hour postoperative blood loss(86.54±5.79)mL,lochia duration(12.69±2.54)d.The height of the uterine fundus(13.69±1.78)cm 3 d after delivery,the height of the uterine fundus(10.28±1.42)cm,Hb(98.56±5.43)g/L,D-dimer(1.12±0.28)mg/L,FIB(3.15±0.42)g/mL was better than the control group(t=89.653,15.652,28.957,13.754,3.126,3.054,28.654,2.1445,2.040,P<0.05).Conclusion The application of hysterosporine,eugenol injection and carprostaglandin aminotriol uterine injection during cesarean section can prevent bleeding during and after cesarean section in high-risk pregnant women,with a significant effect of reducing postoperative complications and good uterine restoration.
作者
王晓芳
WANG Xiao-fang(Department of Obstetrics,Chuxiong State People's Hospital,Chuxiong,Yunnan Province,675000 China)
出处
《世界复合医学》
2020年第6期187-189,共3页
World Journal of Complex Medicine
关键词
益母草
卡前列素氨丁三醇
二次剖宫产
产后出血
Motherwort
Calpaprost tromethamine
Second cesarean section
Postpartum hemorrhage
作者简介
王晓芳(1965-),女,云南凤庆人,本科,副主任医师,主要从事产科临床工作。
