血钙浓度与欣母沛预防产后出血的相关性研究

目的：探讨钙离子与欣母沛在预防产后出血中的协同作用。方法：选择2003—2010年在天津市水阁医院分娩无凝血功能障碍、无胎盘因素、无软产道裂伤，分娩后给予缩宫素20 U肌内注射15～30 min仍有活动性出血，及时给予欣母沛预防产后出血患者59例。按分娩前1周内所测血钙结果分为2组：正常血钙组27例，低血钙组32例。比较2组患者术中出血量、应用欣母沛治疗后24 h累计出血量、产后出血发生率和欣母沛用量。结果：低血钙组产妇与正常血钙组产妇在术中、应用欣母沛治疗后24 h累计出血量、产后出血发生率、欣母沛总量方面比较，差异均有统计学意义（均P＜0.01）。结论：血清钙浓度与欣母沛在预防产后出血中具有协同作用。

The Correlationship Between Serum Calcium and Hemabat in Prevention of Postpartum Hemorrhage

Objective:To study the correlation effect between serum calcium and Hemabat in prevention of postpartum hemorrhage.Methods:Fifty-nine patients after childbirth and treated with Hemabat to prevent postpartum hemorrhage were selected from June 2003 to December 2010 in our hospital.The subjects were divided into 2 groups according to the measured serum calcium results:27 cases in normal calcium;32 cases in low calcium group.The quantity of blooding,the quantity of blooding during 24h after application of Hemabat,the incidence of postpartum hemorrhage,blood calcium concentration and the total quantity of Hemabat were compared among these 2 groups.Results:The difference between low blood calcium group and normal blood calcium group were significant(P<0.01) among the quantity of blooding,the quantity of blooding during 24h after application of Hemabat,the incidence of postpartum hemorrhage,blood calcium concentration and the total quantity of Hemabat.Conclusions:There is correlation effect between serum calcium and Hemabat in prevention of postpartum hemorrhage.