卡前列素治疗宫缩乏力性产后出血疗效观察

    Efficacy of hemabate in treatment of postpartum hemorrhage due to uterine atony

    • 摘要: 目的:观察卡前列素治疗宫缩乏力性产后出血的临床疗效。方法:选择经阴道及剖宫产分娩,因宫缩乏力,在胎儿娩出至产后2h失血量≥ 400ml的患者共64例,随机分为对照组和观察组各32例。在胎儿娩出后常规应用缩宫素20u子宫体肌肉注射,无效时对照组改用缩宫素20u静脉滴注,必要时重复使用,总量≤ 120u。观察组应用卡前列素250μg子宫体肌肉注射,必要时间隔15min重复使用,总量≤ 500μg。结果:观察组总有效率为93.75%,明显优于对照组的81.25%(P<0.01)。结论:卡前列素治疗宫缩乏力性产后出血的临床疗效显著,具有高效、迅速、副作用小、使用方便等优点,但应诊断明确,早期使用。

       

      Abstract: Objective: To observe the effect of hemabate on patients with postpartum hemorrhage caused by uterine atony.Methods: Sixty-four patients with blood loss exceeding 400 ml within 2 hours after vaginal delivery or cesarean section due to uterine atony were randomly divide into control group and observation group.All the patients were routinely injected oxytocin 20 u to the uterine muscle after the baby was delivered.If the therapy did not work,the control group was given 20 u oxytocin intravenously,which might be repeated when necessary with a total volume ≤ 120 u,while the observation group was administered injection of hemabate 250 μg into the uterine,which might be repeated at 15 minutes intervals when necessary with a total volume ≤ 500 μg.Results: The total efficiency was 93.75% in the observation group,which was superior to that of 81.25% in the control group(P<0.01).Conclusions: Hemabate is effective on postpartum hemorrhage caused by uterine atony.It has the advantages of high efficiency,safity,light side effect and convenience.Correct diagnosis and early application are essential to achieve better results.

       

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