摘要
目的:探讨卡前列腺素氨丁三醇应用在宫缩乏力性产后出血中的效果及应用价值。方法:将某院治疗的宫缩乏力性产后出血患者146例采用随机数字表法分为观察组和对照组,对照组给予缩宫素治疗,观察组采用卡前列腺素氨丁三醇治疗,记录两组治疗情况。结果:观察组治疗总有效率为93.15%,对照组治疗总有效率为78.08%,组间对比差异有统计学意义(χ2=6.730,P<0.05)。观察组第三产程时间(0.14±0.05)h,产后2h出血量(198.77±28.69)ml,产后24h出血量(287.79±37.28)ml;对照组第三产程时间(0.35±0.19)h,产后2h出血量(297.64±50.28)ml,产后24h出血量(421.35±52.44)ml,组间对比差异有统计学意义(t或χ2=9.132、14.592、17.736,P<0.05)。结论:卡前列腺素氨丁三醇应用在宫缩乏力性产后出血患者中效果显著,使用安全可靠,值得在临床上大力推广使用。
Objective：To investigate the effect and application value of carboprost tromethamine on postpartum hemorrhage caused by uterine inertia.Methods：146 cases of patients with postpartum hemorrhage caused by uterine inertia treated in a hospital were selected and randomly divided into control group（oxytocin therapy）and observation group（carboprost tromethamine therapy）,and the effect were compared between the two groups.Results：The total effective rate of treatment was 93.15% in the observation group and78.08%in the control group.The difference between the two groups was statistically significant（P〈0.05）.The third labor time,blood loss within 2 hours after delivery,blood loss within 24 hours after delivery in the observation group were significantly better than those in the control group[（0.14±0.05）h vs（0.35±0.19）h;（198.77±28.69）ml vs（297.64±50.28）ml;（287.79±37.28）ml vs（421.35±52.44）ml],and the difference between the two groups was statistically significant（P〈0.05）.Conclusion：The application of carboprost tromethamine in patients with postpartum hemorrhage due to uterine inertia is effective,safe and reliable,which is worthy of promotion and application in clinic.
作者
杜宝丽
钟良玉
Du Baoli(Department of Gynaecology and Obstetrics,Pingshan District People＇s Hospital,Shenzhen 518118)
出处
《数理医药学杂志》
2018年第7期1030-1031,共2页
Journal of Mathematical Medicine
关键词
卡前列腺素氨丁三醇
宫缩乏力
产后出血
carboprost tromethamine
uterine inertia
postpartum hemorrhage
