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小剂量肝素联合地塞米松在预防剖宫产术后出血的效果观察及干预体会 被引量:1

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摘要 目的:观察小剂量肝素联合地塞米松在预防剖宫产术后出血的效果观察及干预体会。方法:我院2019年6月-2020年6月收治的76例剖宫产患者为本次研究对象,按照是否应用小剂量肝素联合地塞米松以预防剖宫产术后出血将本次研究对象为对照组(38例:未应用小剂量肝素联合地塞米松而单纯应用缩宫素)与实验组(38例:应用小剂量肝素联合地塞米松),比较两组患者干预效果。结果:实验组患者给药72h后凝血酶时间为、凝血酶原时间、活血部分凝血活酶时间等凝血功能指标均高于同期对照组,数据差异具有统计学意义(P<0.05)。实验组产妇术后出血发生率(5.26%)低于对照组,实验组出血患者子宫动脉结扎率高于对照组、子宫切除率均低于对照组,数据差异具有统计学意义(P<0.05)。实验组产妇术后2h、术后12h、术后24h平均出血量均低于对照组,数据差异具有统计学意义(P<0.05)。实验组不良反应(10.52%)略高于对照组(7.89%),数据差异不具有统计学意义(P>0.05)。实验组产妇对干预满意度(97.37%)高于对照组,数据差异具有统计学意义(P<0.05)。结论:剖宫产小剂量肝素联合地塞米松治疗与单纯应用缩宫素相比可有效降低术后出血发生率,安全性相对较高。
作者 黄巧芬
出处 《北方药学》 2022年第6期174-176,187,共4页 Journal of North Pharmacy
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  • 1齐秀芳.地塞米松联合卡前列素氨丁三醇治疗高危妊娠产妇产后出血的临床疗效[J].中国农村卫生,2020,0(1):80-80. 被引量:3
  • 2Liang J,Dai L,Zhu J,et al.Preventable maternal mortality:Geographic/ruralurban differences and associated factors from the population-based maternal mortality surveillance system in China[J].Bmc Public Health,2011,11:243.
  • 3American College of Obstetricians and Gynecologists.ACOG Practice Bulletin:Clinical Management Guidelines for Obstetrician-Gynecologists Number 76,October 2006:postpartum hemorrhage[J].Obstet Gynecol,2006,108:1039-1047.
  • 4B-Lynch C.A comprehensive textbook of postpartumhemorrhage:an essential clinical reference for effective management[M].2nd ed.London:Sapiens Publishing,2012:1-12.
  • 5Tun(c)alp O,Souza JP,Gülmezoglu M,et al.New WHO recommendations on prevention and treatment of postpartum hemorrhage[J].Int J Gynaecol Obstet,2013,123:254-256.
  • 6Leduc D,Senikas V,Lalonde AB,et al.Active management of the third stage of labour:prevention and treatment of postpartum hemorrhage[J].J Obstet Gynaecol Can,2009,31:980-993.
  • 7Gülmezoglu AM,Lumbiganon P,Landoulsi S,et al.Active management of the third stage of labour with and without controlled cord traction:a randomised,controlled,non-inferiority trial[J].Lancet,2012,379:1721-1727.
  • 8Chen M,Chang Q,Duan T,et al.Uterine massage to reduce blood loss after vaginal delivery:a randomized controlled rrial[J].Obstet Gynecol,2013,122:290-295.
  • 9Wedisinghe L,Macleod M,Murphy DJ.Use of oxytocin to prevent haemorrhage at caesarean section:a survey of practice in the United Kingdom[J].Eur J Obstet Gynecol Reprod Biol,2008,137:27-30.
  • 10WHO Guidelines Approved by the Guidelines Review Committee.WHO guidelines for the managementof postpartum haemorrhage and retained placenta[M].Geneva:World Health Organization,2009:1-10.

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