欣母沛和缩宫素预防产后出血疗效观察(1)
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[摘要] 目的 比较欣母沛和缩宫素预防和治疗宫缩乏力所致产后出血的效果。 方法 选择顺产的孕妇150例，随机分为两组：欣母沛组和缩宫素组，每组75例。应用称重法计算产时及产后2 h、24 h的出血量，分析各组产后平均出血量、产后出血发生率及分娩前后血红蛋白的变化。 结果 欣母沛组产后平均出血量、产后出血发生率均明显低于缩宫素组(P < 0.05)，产后24 h血红蛋白平均值亦明显高于缩宫素组(P < 0.05)。 结论 与缩宫素相比，欣母沛具有更好的预防及减少产后出血的作用。
[关键词] 预防性；欣母沛；缩宫素；产后出血
[中图分类号] R714.461 [文献标识码] B [文章编号] 1673—9701(2012)25—0143—02
The efficacy of hemabate and oxytocin in preventing postpartum hemorrhage
TAN Jie SUN Yangyan BAO Lili
Department of Gynecology and Obstetrics，the Affiliated Jiangyin City People’s Hospital of Medical School of Southeast University，Jiangyin 214400，China
[Abstract] Objective To compare the hemabate and oxytocin in the prevention and treatment of postpartum hemorrhage caused by uterine atony. Methods The birth of the 150 cases of pregnant women，were randomLy divided into two groups：hemabate group and oxytocin group，75 cases in each group. Application of weighing method to the calculation of intrapartum and postpartum 2 h，24 h bleeding，analysis of postpartum hemorrhage volume，each average rate of postpartum hemorrhage and changes in hemoglobin before and after delivery. Results Hemabate group of postpartum bleeding volume，average rate of postpartum hemorrhage were significantly lower than those of oxytocin group(P < 0.05)，postpartum 24 h hemoglobin mean values were significantly higher than those of oxytocin group(P < 0.05). Conclusion Compared with oxytocin，hemabate has better prevention and decrease postpartum hemorrhage role.
[Key words] Preventive； Hemabate； Oxytocin； Postpartum hemorrhage
产后出血是产科的严重并发症之一，是我国孕产妇死亡的首要原因[1]，子宫收缩乏力所致产后出血会在短时间内造成大量失血，甚至引起DIC危及产妇生命。鉴于上述原因，我们于2009年申请了江苏省科技发展重点项目“电脑模糊综合评判研究在产后出血的预防及治疗的应用” ......
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