摘要
目的探讨卡孕栓直肠给药联合静脉缩宫素在预防产后出血及尿潴留的临床效果。方法选取2015年6—12月入住本院,产后出血预测评分5~7分,足月头位阴道分娩产妇120例,随机分为观察组和对照组,每组60例,对照组在胎肩娩出后给予静脉缩宫素,观察组在对照组的基础上,于胎盘娩出后肛置卡孕栓,观察两组产妇产后2 h、24 h出血量、产后出血发生率、产后尿潴留及不良反应发生情况。结果观察组产妇产后2 h、24 h出血量、产后出血发生率均少于对照组,差异有统计学意义（P〈0.05）;两组均无严重不良反应发生,观察组产后尿潴留发生率少于对照组,有统计学差异（P〈0.05）。结论卡孕栓直肠给药联合静脉缩宫素可以减少产后出血量、降低产后出血发生率及尿潴留的发生。
Objective To investigate the clinical effect of rectal administration combined with intravenous oxytocin in the prevention of postpartum hemorrhage and urinary retention. Methods From June2015 to December 2015,postpartum hemorrhage prediction score 5 ~ 7 points,120 cases of full-term vaginal delivery were randomly divided into observation group and control group,60 cases in each group,control group after the delivery of the tire shoulder given intravenous oxytocin,observation group on the basis of the control group,in the delivery of the placenta after anal clamping Methyl Carboprost,observed two groups of postpartum2 h,24h,the amount of bleeding,incidence rate of postpartum hemorrhage,postpartum urinary retention and adverse reactions. Results Observation group of postpartum 2h,24 h of hemorrhage,postpartum hemorrhage rate was less than that of the control group,the difference was statistically significant（ P〈0.05）; two groups had no serious adverse reactions,the observation group of postpartum urinary retention was lower（ P〈0.05）.Conclusions Rectal administration combined with intravenous oxytocin can reduce the amount of postpartum hemorrhage,and reduce the incidence of postpartum hemorrhage and urinary retention.
作者
孙利娟
尹利荣
Sun Lijuan et al(Gangkou Hospital, Tianjin 300456, Chin)
出处
《齐齐哈尔医学院学报》
2016年第28期3523-3524,共2页
Journal of Qiqihar Medical University
关键词
卡孕栓
直肠给药
缩宫素
产后出血
尿潴留
Carboprost methylate
Rectal administration
Oxytocin
Postpartum hemorrhage
Urinary retention
