摘要
目的:探索子宫收缩乏力出血的致病原因及治疗效果。方法:选取笔者所在医院在2008年7月-2011年12月期间共收治的因子宫收缩乏力导致产后出血者83例,随机分为两组:观察组41例和对照组42例;两组产妇均于胎儿娩出后常规应用缩宫素20U肌肉注射,对照组在出血后予以缩宫素常规治疗,观察组在出血后予以米索前列醇纳肛联合缩宫素治疗。结果:引起子宫收缩乏力的病因方面,巨大胎儿及羊水过多均为28例,分别占33.73%,显著高于其他致病原因(P<0.05);两组产妇出血量在胎儿娩出至治疗开始前无明显差异(P>0.05);在产后2h及产后24h的总出血量方面,观察组显著少于对照组(P<0.05)。结论:应用米索前列醇联合缩宫素治疗子宫收缩乏力性产后出血可有效控制产后出血量,治疗效果显著,且临床应用方便,副作用小,值得临床推广应用。
Objective： To explore the causes and treatment effect of uterine atony bleeding.Method： 83 patients in the period of July 2008 to December 2011 in our hospital treated for uterine atony leading to postpartum hemorrhage Were chosen.They were randomly divided into two groups： 41 cases in the observation group and the control group （ 42 cases ） .The two groups were aU taken with routine oxytocin 20U intramuscular injection after the baby delivered.The control group was taken with conventional treatment of oxytocin, and the observation group was taken with misoprostol anus combined oxytocin treatment after bleeding.Result： In the causes of uterine atony etiology, fetal macrosomia and polyhydramnios were in 28 cases, respectively, accounting for 33.73%, significantly higher than that of other causes （ P〈0.05 ） .The amount of bleeding in the two groups of maternal fetal expulsion before the start of treatment, there was no significant difference （ P〉O.05 ） .In the total amount of bleeding 2 h and 24 h after childbirth, the observation group was significantly less than the control group （P〈O.05） .Conclusion： The application of misoprostol combined with oxytocin in the treatment of uterine atony postpartum hemorrhage can effectively control the amount of postpartum hemorrhage, the treatment effect is significant, and the clinical application is convenient, it is of little side effects, and it is worthy of clinical application.
出处
《中国医学创新》
CAS
2013年第15期99-100,共2页
Medical Innovation of China
关键词
子宫收缩乏力性产后出血
流行病学分析
米索前列醇
Uterine contraction atony postpartum hemorrhage
Epidemiological analysis
Misoprostal
