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目的研究卡前列素氨丁三醇注射液治疗宫缩乏力性产后出血的临床效果。方法选取我院2013年4月~2015年2月收治的83例宫缩乏力性产后出血患者,按随机数字表法将其分为a组和b组,a组常规用催产素治疗,b组在催产素常规治疗同时加用卡前列素氨丁三醇注射液治疗。观察两组止血有效率、药物副作用率、第三产程时间、产后2 h出血量及产后24 h出血量的差异。结果 b组与a组相比,止血有效率更高,药物副作用率更低,第三产程时间更短,产后2 h出血量、产后24 h出血量更少,差异有统计学意义(P<0.05)。结论卡前列素氨丁三醇注射液治疗宫缩乏力性产后出血的临床效果确切,可有效缩短第三产程时间,减少产后出血量,达到有效止血目的,且用药副作用少,安全性高,值得推广。
Objective To study the clinical effect of carboprost tromethamine injection in treating postpartum hemorrhage with uterine inertia. Methods A total of 83 patients with uterine atony postpartum hemorrhage admitted from April 2013 to February 2015 in our hospital were divided into group a and group b according to the random number table method. Group a was treated with oxytocin, group b In the conventional oxytocin plus card with prostaglandin tromethamine injection treatment. The effective rate of hemostasis, side effects rate, the third stage of labor time, the amount of hemorrhage 2 h postpartum and the amount of hemorrhage 24 h postpartum were observed. Results Compared with group a, group b had a higher rate of hemostasis, a lower rate of side effects, shorter duration of the third stage of labor, amount of bleeding at 2 hours postpartum and less amount of bleeding at 24 hours postpartum, with significant difference (P < 0.05). Conclusions The treatment with cardoprost and trometamol for postpartum hemorrhage is effective in shortening the duration of the third stage of labor, reducing the amount of postpartum hemorrhage, achieving the goal of effective hemostasis, and has few side effects and high safety. It is worthwhile Promotion.