卡前列素氨丁三醇治疗产后出血临床疗效观察

目的:探讨卡前列素氨丁三醇在预防和治疗产后出血过程中的应用。方法:胎儿分娩后静脉注射宫缩素10IU,同时肌肉注射10IU。产后出血追加宫缩素20IU或联合米索前列醇300μg进行舌下含服,子宫收缩仍然不好时,肌肉注射卡前列素氨丁三醇250μg。结果:配合使用卡前列素氨丁三醇的试验组总有效率为93.3%,未使用卡前列素氨丁三醇的对照组总有效率仅为60.0%。结论:大多数具有产后出血倾向因素的剖宫产患者,使用宫缩素的同时给予卡前列素氨丁三醇,可以很好地预防和治疗产后出血状况,效果明显且快速、安全,值得临床推广应用。

Clinical Curative Effect Observation on the Card Prostaglandin Tromethamine in the Prevention and Treatment of Postpartum Hemorrhage

Objective： To study card prostaglandin tromethamine in the prevention and treatment of postpartum hemorrhage. Methods：After delivery of the fetus intravenous contractions prime 10IU, intramuscular injection 10IU. The postpartum bleeding additional contractions prime 20IU or in combination with misoprostol 300μg sublingual, uterine contraction is still bad, the intra muscular Carboprost tromethamine 250μg. Results：The experimental group with the use of carboprost tromethamine total effective rate of 93.3%, carboprost tromethamine unused control group, the total efficiency of only 60%. Conclusion：The majority of ce-sarean delivery in patients with postpartum bleeding tendency factors, while the use of contractions prime carboprost tromethamine, can be a good way to prevent and treat postpartum hemorrhage status, effective and fast, safe and worthy of clinical on a Wide range of promotional applications.