欣母沛防治高危剖宫产产妇产后出血的临床疗效

杨爱玲，张华

延安市富县人民医院，陕西 延安，727500

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摘要：

目的 分析欣母沛防治高危剖宫产产妇产后出血的临床疗效。方法 将 2016年 5月至 2017年 5月我院收治的 60例高危剖宫产产妇作为研究对象，按照入院先后顺序分为 A 组和 B 组，每组 30例。给予 A 组产妇子宫体注射缩宫素 20 U，肛塞米索前列醇 200 μg，B 组产妇在 A 组基础上给予欣母沛 250 μg。比较两组产妇治疗总有效率及术中、术后 2、24 h内的尿量、出血量及产后出血发生率。结果 A、B 组产妇的治疗总有效率分别为 66.67% 和 93.33% ，B 组明显高于 A 组（P<0.05）；B 组产妇出血率低于 A 组（P<0.05）；在术中及术后 2、24 h，B 组产妇的尿量与 A 组比较，差异有统计学意义（P<0.05）；B 组产妇的术中及术后 2、24 h的出血量均少于 A 组（P<0.05）。结论 欣母沛可以有效防治高危产妇剖宫产术后出血，并且减少产妇术后出血量，可在后期临床上广泛使用。

关键词： 高危产妇；剖宫产；欣母沛；产后出血

中图分类号：R714.4文献标志码：A文章编号： 2096-1413(2018)07-0140-02

Clinical efficacy of hemabate in preventing and treating postpartum hemorrhage
in high risk cesarean section parturients


YANG Ai-ling,ZHANG Hua *
(the People`s Hospital of Fu County,Yan`an 727500, China)



ABSTRACT: Objective To analyze the clinical efficacy of hemabate in preventing and treating postpartum hemorrh age in high risk cesarean section parturients. Methods Sixty cases of high risk cesarean section parturient sadmitted in ourhospi- talfrom May2016 toMay2017 were selected as the objects in this study,and divided intogroup A and group B according tothe order of admission,with 30 casesin each group.Parturientsin the group A were intrauterine injected with oxytocin 20 U,and analmisoprostol 200 μg,and parturients in the group B were given hemabate 250 μg on the basisofthe grou A. The total effectiverates, urine output and blood loss volumein intraoperative,within 2 and 24 h after operation,postoperative bleeding rate were compared between the two groups.Results The total effectiverates of group A and group B were 66.67% and 93.33% respectively,that ofgroup B was higherthan the group A (P<0.05). The bleeding rate of group B was lower than that of group A (P<0.05),and there were significant differences in urinary volume between the two groups (P< 0.05).The blood loss volumein intra operative, postoperative2 and 24 h after surgery of group B were less than those of the group A,the differences were statistically significant (P<0.05).Conclusion Hemabate can effectively preventand control bleeding after cesarean section in high risk parturients,and itcan reduce the amount of postoperative bleeding,which should bewidely used in clinicin future.                                            　                                                                                                                                                                  

KEYWORDS:high risk parturients;cesarean section;hemabate;postoperative bleeding

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