论文部分内容阅读
目的比较卡前列素氨丁三醇及缩宫素在预防瘢痕子宫产后出血的临床作用。方法将本院2012年1月~2012年12月收治的剖宫产术后再次妊娠病例120例,随机分为治疗组和对照组,每组60例。胎儿娩出后,治疗组产妇予以肌肉或宫体注射卡前列素氨丁三醇250μg,对照组产妇予以肌肉或宫体注射缩宫素20单位。比较两组术中(或产时)出血量、术后(或产后)2 h及24 h出血量(ml)。结果实验组术中(或产时)的出血量、2 h及术后24 h的出血量少于对照组(P<0.05)。结论卡前列素氨丁三醇预防瘢痕子宫产后出血效果显著,值得推广应用。
Objective To compare the clinical effects of carboprost trometamol and oxytocin in the prevention of postpartum hemorrhage in uterine scar. Methods One hundred and twenty cases of pregnancy after cesarean section were treated in our hospital from January 2012 to December 2012 and were randomly divided into treatment group and control group, with 60 cases in each group. After delivery of the fetus, the treatment group maternal muscle or intrauterine injection of carboprost trometamol 250μg, the control group of maternal or intrauterine injection of oxytocin 20 units. The intraoperative (or intrapartum) bleeding, postoperative (or postpartum) 2 h and 24 h bleeding volume (ml) were compared between the two groups. Results The intraoperative (or intrapartum) amount of bleeding, bleeding amount at 2 hours and 24 hours after operation in experimental group were less than those in control group (P <0.05). Conclusions Carprost trometamol is effective in preventing postpartum hemorrhage of uterine scar, which is worth popularizing and applying.