摘要
目的:探讨缩宫素联合卡前列素氨丁三醇对改善剖宫产产妇术后出血及促进子宫复旧的效果。方法:选取成武县人民医院2017年10月-2021年10月收治的剖宫产产妇60例,以随机数表法分为两组,各30例。对照组应用缩宫素注射液治疗,试验组应用缩宫素注射液联合卡前列素氨丁三醇注射液治疗。比较两组出血量、子宫复旧指标、临床指标及不良反应发生率。结果:试验组术后2、6、12、24 h出血量均低于对照组,差异有统计学意义(P<0.05)。试验组术后1、3、5 d子宫复旧指标均优于对照组,差异有统计学意义(P<0.05)。试验组血压、凝血指标与对照组比较,差异无统计学意义(P>0.05);试验组术后恶露持续时间短于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:针对剖宫产产妇产术后出血联合应用卡前列素氨丁三醇与缩宫素治疗,既可减少术后出血,又可促进子宫复旧,止血效果佳。
Objective:To investigate the effect of oxytocin combined with carboprost tromethamine on improving postoperative bleeding and promoting uterine involution of cesarean section women.Methods:A total of 60 cesarean section women in Chengwu People’s Hospital from October 2017 to October 2021 were selected and divided into two groups according to random number table method,with 30 cases in each group.The control group received oxytocin injection and the experimental group received oxytocin injection + carboprost tromethamine injection.The bleeding volume,uterine involution index,clinical index and incidence of adverse reactions were compared between the two groups.Results:The bleeding volume of the experimental group was lower than that of the control group at 2,6,12,and 24 hours after operation,and the difference was statistically significant(P0.05).The duration of postoperative lochia in the experimental group was shorter than that in the control group,and the difference was statistically significant(P0.05).Conclusion:For patients with bleeding after cesarean section,the use of carboprost tromethamine combined with oxytocin can not only improve postoperative bleeding,but also promote uterine involution,and has a good hemostatic effect.
作者
张秀萍
Zhang Xiu-ping(Department of Obstetrics,Chengwu People’s Hospital,Heze 274200,Shandong Province,China)
出处
《中国社区医师》
2022年第23期25-27,共3页
Chinese Community Doctors
关键词
缩宫素
卡前列素氨丁三醇
剖宫产
子宫复旧
术后出血
Oxytocin
Carboprost tromethamine
Cesarean section
Uterine involution
Postoperative hemorrhage
