卡前列素氨丁三醇联合垂体后叶素治疗宫缩乏力性产后出血疗效研究

目的探讨卡前列素氨丁三醇联合垂体后叶素治疗宫缩乏力性产后出血的疗效。方法于2014年3月至2015年8月,采用随机数字表法将92例宫缩乏力性产后出血患者分为研究组及对照组,每组各46例。对照组给予垂体后叶素联合缩宫素治疗。研究组在对照组基础上增加卡前列素氨丁三醇治疗。比较两组患者产后止血时间、产后出血量、子宫切除率及胎儿死亡率。结果研究组产后0.5、2、24h出血量,以及产后止血时间、子宫切除率、胎儿死亡率均低于对照组(P0.05)。结论卡前列素氨丁三醇联合垂体后叶素治疗宫缩乏力性产后出血疗效显著。

Effect of hypophysin combined with Carboprost Tromethamine in treatment of post-partum hemorrhage induced by uterine inertia

Objective To investigate the effect of hypophysin combined with Carboprost Tromethamine in treatment of post‐par‐tum hemorrhage induced by uterine inertia .Methods From Mar .2014 to Aug .2015 ,92 patients with postpartum hemorrhage in‐duced by uterine inertia were randomly divided into control group(46 cases) ,given combined treatment of hypophysin and oxytocin , and study group(46 cases) ,further given Carboprost Tromethamine ,on the basis of control group .The postpartum bleeding time ,a‐mounts of postpartum blood loss ,incidence rate of hysterectomy and fetal mortality rate were compared between the two groups . Results The amounts of postpartum blood loss at 0 .5 ,2 and 24 h after delivery ,postpartum bleeding time ,incidence rate of hyster‐ectomy and fetal mortality rate of study group were significantly lower than control group(P< 0 .05) .Conclusion Hypophysin combined with Carboprost Tromethamine might be with significant curative effect in the treatment of post‐partum hemorrhage in‐duced by uterine inertia .