无医学指征剖宫产者术前应用催产素的临床观察

目的:探讨无医学指征剖宫产者术前应用催产素对术中、术后出血量,新生儿产伤及结局的影响.方法:将180例无指征剖宫产手术的产妇分为观察组(n=80)和对照组(n=100),两组均采用腹部横切口子宫下段剖宫产术.观察组术前孕妇已短时间应用催产素,且产妇已出现规律性宫缩;对照组术前未用催产素,无宫缩,直接行剖宫产术.两组术中、术后处理一致.比较两组第三产程时间、术中和术后2、24 h产后出血量、子宫裂伤与否及新生儿结局.结果:观察组产妇术中和术后2 h产后出血量明显少于对照组(P<0.05),子宫裂伤发生率亦低于对照组(P<0.05);两组新生儿Apgar评分差异无统计学意义.结论:无指征剖宫产者术前应用催产素可有效减少术中、术后阴道出血量和子宫裂伤发生率,有利于手术操作.

Clinic observasion to oxytocin use in cesarean section without medical indication patients

Objective: To discuss the effect of application of oxytocin before operation on prevention bleeding during and after cesarean delivery,birth trauma,and neonate Apgar score.Methods: One hundred and eighty cases without medical indication which had taken cesarean delivery were divided into observation group(n=80) and control group(n=100).Both groups took lower uterine segment transverse incision abdominal cesarean delivery.Observation group was given oxytocin before operation for a short time and the patients had regular contractions.Control group had no contractions before operation and took cesarean delivery directly.Both groups were given same treatment during and after operation.The third stage of labor time,the amount of bleeding during operation,2 h and 24 h after operation,uterine rupture and neonatal outcome were compared between the two groups.Results: The amount of bleeding of observation group was significantly less than control group in 2 hours after operation,the incidence of uterine rupture was also lower than control group,and there was not significant difference in neonate Apgar score.Conclusions: Taking oxytocin before cesarean delivery in patients without medical indication can effectively reduce bleeding during and after operation,the occurrence of uterine rupture.It is benefit to operation.