摘要
目的：通过观察阴道分娩计划分娩催产病例与正常分娩产妇产后出血的比较，预见计划分娩催产可能存在宫缩乏力，同时计划分娩催产病例中预防性应用宫缩剂的效果。方法：通过分析2005年1～12月正常头位第一产经阴道自然分娩需计划分娩催产的产妇320例的产后出血，有明确为胎盘因素、产道裂伤、凝血功能障碍者及阴道助产者予以剔除，分为两组，预防组80例，于胎儿娩出后立即静脉滴注催产素20U，未预防组160例，同时选取正常分娩无需计划分娩催产的产妇80例作为对照组。结果：未预防组产后出血量367．11±136．39ml，明显多于对照组322．15±104．59ml，P〈0．05，产后出血发生率18／160，高于对照组（6／80），但无统计学差异，P〉0．05，预防组产后出血量299．48±69．81ml，显著低于未预防组，P〈0．001，与对照组相似，P〉0．05，产后出血发生率2／80，也显著低于未预防组，P〈0．01，略低于对照组，P〉0．05。结论：应预见计划分娩催产者产后可能发生寓缩乏力致产后出血，产后出血量及产后出血发生率可能均高于正常对照，这可以于胎儿娩出后，予催产素预防，建议对产前计划分娩催产者应在胎儿娩出后常规予催产素预防产后出血。
Objective： To contrast postpartum hemorrhage between induction of labor by oxytocin and normal labor, foresee the possible existence of uterine inertia and observe the result after using oxytocin for preventing beforehand. Methods： The postpartum hemorrhage of 320 case whom inducted labor by oxytocin from January 2005 to December 2005 were analyzed. All case were fist labor, except the case of postpartum hemorrhage by placental factors, or laceration of birth canal, or coagulation disorders, and the case of obstetric assistant. The case divided into two groups, prevent group （80 case） and non -prevent group （160 case）. Prevent group used oxytocin 20 IU to prevent postpartum hemorrhage after labor. 80 case of normal labor that didnt use oxcytocin before labors were chose for contrast （ normal group） during the same time. Results： The mean amount of postpartum hemorrhage of non -prevent group was （367. 11 ± 136. 39） ml, higher than those of normal group （322. 15 ± 104. 59） ml （P 〈 0. 05） . The rate of postpartum hemorrhage of non- prevent group was 18/160, higher than those of normal group （6/80） （ but P 〉 0. 05）. The mean amount of postpartum hemorrhage of prevent group was （299. 48 ± 69. 81 ） ml, significant lower than those of non - prevent group （ P 〈 0. 001 ）, that similar to those of normal group （ P 〉 0. 05 ） . The rate of postpartum hemorrhage of prevent group was 2/80, significant lower than those of non -prevent group （P 〈 0. 001 ）, also lower than those of normal group （ but P 〉 0. 05 ） . Conclusion： The possible existence of uterine inertia in those who inducted by oxytocin before labor should be predicted. The mean amount and the rate of postpartum hemorrhage are possible higher than those of normal labor. And this could be prevented beforehand by oxytocin after labor. The oxytocin should be used routinely in induction of labor to prevent postpartum.
出处
《中国妇幼保健》
CAS
北大核心
2007年第32期4529-4531,共3页
Maternal and Child Health Care of China
关键词
产后出血
计划分娩
催产
催产素
预防
Postpartum hemorrhage
Delivery planned
Oxytocin
Prevention
