摘要
目的观察静脉点滴缩宫素辅助马来酸麦角新碱注射液在治疗和预防剖宫产术后出血中的临床疗效。方法回顾性分析2017年1月至2018年6月本院产科剖宫产产妇168例临床资料,根据剖宫产后用药不同将其分为对照组(94例)和观察组(74例)。对照组给予静脉点滴缩宫素治疗,观察组实施静脉点滴缩宫素辅助马来酸麦角新碱注射液治疗。观察两组产后出血量、生命体征、产后出血发生率及不良反应情况。结果对照组产后1h、3h、24h出血量均高于观察组,差异有统计学意义(P<0.05);用药2h后两组收缩压、舒张压均高于用药前,且观察组上述指标高于对照组,差异有统计学意义(P<0.05);用药2h后两组心率均低于用药前,差异有统计学意义(P<0.05);对照组产后出血发生率高于观察组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义。结论静脉点滴缩宫素辅助马来酸麦角新碱注射液治疗可有效维持产妇剖宫产后生命体征稳定,减少术后出血量,降低产后出血发生率,且具有一定安全性。
Objective To observe the clinical efficacy of intravenous oxytocin combined with ergonosine maleate injection in the treatment and prevention of hemorrhage after cesarean section.Methods A retrospective analysis was made on 168 cases of cesarean section women in our hospital from January 2017 to June 2018.According to the different medication after cesarean section,they were divided into control group(94 cases)and observation group(74 cases).The control group was treated with intravenous oxytocin,while the observation group was treated with intravenous oxytocin and ergonosine maleate injection.The amount of postpartum hemorrhage,vital signs,incidence of postpartum hemorrhage and adverse reactions were observed.Results The blood loss of the control group was higher than that of the observation group at 1 h,3 h and 24 h postpartum(P<0.05);the systolic and diastolic blood pressure of the two groups were higher than that of the control group at 2 h postpartum,and the above indexes of the observation group were higher than those of the control group(P<0.05);the heart rate of the two groups was lower than that of the control group at 2 h postpartum(P<0.05).The incidence of bleeding was higher than that of the observation group(P<0.05),and there was no significant difference in the incidence of adverse reactions between the two groups.Conclusion Intravenous oxytocin combined with ergonosine maleate injection can effectively maintain the stability of vital signs of parturients after cesarean section,reduce the amount of postpartum hemorrhage,and reduce the incidence of postpartum hemorrhage,with a certain degree of safety.
作者
李惠萍
Li Huiping(Department of Obstetrics and Gynecology,Yujiang District People' s Hospital,Yingtan City,Jiangxi Province,Yingtan,Jiangxi,335000,China)
出处
《当代医学》
2019年第22期98-100,共3页
Contemporary Medicine
关键词
剖宫产
静脉点滴缩宫素
马来酸麦角新碱注射液
产后出血
Cesarean section
Intravenous drip of oxytocin
Ergometrine maleate injection
Postpartum hemorrhage
