摘要
目的评价欣母沛与缩宫素在宫缩乏力致产后出血中的预防和治疗效果。方法研究时间以2017年1月—2019年3月为准,选取该时间段内在该院生产的42例产妇资料,所有产妇均于产时发现宫缩乏力。根据使用药物不同分为对照组和研究组,其中对照组患者单纯使用缩宫素预防和治疗产后出血,研究组患者联合使用缩宫素和欣母沛。统计两组产后出血发生率、两组产后出血治疗结果。结果:研究组患者产后出血发生率23.81%显著少于对照组的57.14%,差异有统计学意义(χ^2=4.842 4,P<0.05);研究组患者产后出血病例治疗总有效率100.00%显著高于对照组的50.00%,差异有统计学意义(χ^2=3.863 6,P<0.05)。研究组和对照组不良反应发生率分别为14.29%、9.52%,差异无统计学意义(χ^2=0.227 0,P>0.05 )。结论缩宫素和欣母沛都有预防和治疗宫缩乏力性产后出血的作用,但两者联合的预防和治疗效果更好,联合使用也不会增加不良反应,安全性高,值得推广。
Objective To evaluate the preventive and therapeutic effects of Xinmupei and oxytocin in postpartum hemorrhage caused by uterine contraction. Methods The study time was based on January 2017 to March 2019 42 maternal data produced in this hospital during this time period were selected. All women were found to have uterine atony during birth. According to the different drugs used, they were divided into the control group and the study group. The control group patients were treated with oxytocin alone to prevent and treat postpartum hemorrhage. The patients in the study group were treated with oxytocin and Xinmupe. The incidence of postpartum hemorrhage in the two groups and the results of postpartum hemorrhage in the two groups were counted. Results The incidence of postpartum hemorrhage in the study group was 23.81% significantly lower than that in the control group (57.14%). The difference was statistically significant(χ^2=4.842 4, P<0.05). The total effective rate of postpartum hemorrhage in the study group was significantly higher than 100.00%. The difference was statistically significant at 50.00% of the control group (χ^2=3.863 6, P<0.05). The incidence of adverse reactions in the study group and the control group were 14.29% and 9.52%, respectively, and the difference was not statistically significant(χ^2= 0.227 0, P>0.05). Conclusion Both oxytocin and Xinmupe have the effect of preventing and treating postpartum hemorrhage due to uterine contraction, but the combined prevention and treatment effect is better. The combined use will not increase the adverse reaction, and the safety is high. It is worth promoting.
作者
沈静
SHEN Jing(Department of Obstetrics and Gynecology,the Third People's Hospital of Lianshui County,Lianshui,Jiangsu Province,223400 China)
出处
《世界复合医学》
2019年第8期187-189,共3页
World Journal of Complex Medicine
关键词
欣母沛
缩宫素
宫缩乏力
产后出血
疗效评价
Xinmupei
Oxytocin
Uterine atony
Postpartum hemorrhage
Efficacy evaluation
