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目的探讨卡前列腺素氨丁三醇在预防前置胎盘剖宫产术中产后出血的临床应用。方法以本院2011年1月~2012年12月期间住院诊断为前置胎盘的52例患者为研究对象,并随机将其分为两组:观察组及对照组。观察组26例,即在胎儿娩出后宫体注射缩宫素20 U,液体静点缩宫素10 U,同时给予宫体注射卡前列腺素氨丁三醇针250μg;对照组26例,即在胎儿娩出后宫体注射缩宫素20 U,液体静点缩宫素10 U,同时舌下含化卡前列甲酯栓1 mg,观察两组患者的术中、术后24 h的出血量及产后出血发生率。结果观察组术中、术后24 h出血量、产后出血发生率均明显低于对照组,且差异具有统计学意义(P<0.05)。结论卡前列腺素氨丁三醇在预防前置胎盘引起的产后出血中临床效果显著,明显降低了产后出血量和产后出血率,减少了远、近期并发症,提高了产科质量,值得临床推广。
Objective To investigate the clinical application of card prostaglandin trometamol in preventing postpartum hemorrhage in placenta previa. Methods 52 patients diagnosed as placenta previa from January 2011 to December 2012 in our hospital were randomly divided into two groups: observation group and control group. Observation group of 26 cases, that is, after delivery of the fetus uterine body injection of oxytocin 20 U, liquid intravenous oxytocin 10 U, while giving the Palace injection of card prostaglandin tromethamine needle 250μg; control group of 26 cases, that is, in the fetus After delivery of oxytocin 20 U, hydrotactic oxytocin 10 U, sublingual card prepar methyl ester suppository 1 mg, two groups of patients were observed intraoperative and postoperative 24 h bleeding and postpartum hemorrhage Occurrence rate. Results The intraoperative and postoperative bleeding volume at 24 h and the incidence of postpartum hemorrhage in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Cardiac prostaglandin trometamol in the prevention of placenta previa caused by postpartum hemorrhage clinical significant effect, significantly reducing the amount of postpartum hemorrhage and postpartum hemorrhage rate, reduce the long-term and recent complications, improve obstetric quality, worthy of clinical promotion.