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氨甲环酸联合欣母沛与卡贝缩宫素治疗产后出血的临床疗效及价值体会 被引量:2

Experience on the clinical efficacy and value of tranexamic acid combined with Xinmupei and carbetocin in the treatment of postpartum hemorrhage
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摘要 目的观察对产后出血患者实施氨甲环酸联合欣母沛与卡贝缩宫素治疗干预的价值。方法选取2020年12月-2023年12月贵州省务川县人民医院发生的产后出血患者60例为研究对象,随机分为两组,一组为采取欣母沛、卡贝缩宫素治疗的常规组;另一组为采取氨甲环酸联合欣母沛、卡贝缩宫素治疗的研究组;对两组患者治疗效果进行对比分析。结果两组治疗效果比较,研究组治疗效果更好(P<0.05);两组凝血指标比较,研究组凝血酶原时间(PT)、血清纤维蛋白原(FIB)和活化部分凝血活酶时间(APTT)更优(P<0.05);两组产后出血情况比较,研究组产后2h出血量、产后24h出血量均更低(P<0.05);两组生活质量比较,研究组更高(P<0.05)。结论将氨甲环酸联合欣母沛、卡贝缩宫素方案实施在产后出血患者治疗中,效果显著。 Objective To observe the value of tranexamic acid combined with Xinmupei and carbetocin therapeutic intervention in patients with postpartum hemorrhage.Methods 60 patients with postpartum hemorrhage who occurred in our hospital from December 2020 to December 2023 were selected as the research subjects,and were randomly divided into two groups.One group was the conventional group treated with Xinmupei and carbetocin;the study group was treated with tranexamic acid combined with Xinmupei and carbetocin;the treatment effects of the two groups of patients were compared and analyzed.Results Comparing the treatment effects of the two groups,the treatment effect of the study group was better(P<0.05);comparing the coagulation indexes of the two groups,the prothrombin time(PT),serum fibrinogen(FIB)and activated partial thromboplastin time of the study group(APTT)was better(P<0.05);compared with the two groups of postpartum hemorrhage,the study group had lower postpartum bleeding volume 2 hours and 24 hours postpartum bleeding volume(P<0.05);compared with the two groups,the study group had a higher quality of life(P<0.05).Conclusion The effect of tranexamic acid combined with Xinmupei and Carbetocin in the treatment of patients with postpartum hemorrhage is excellent.
作者 文江霞 Wen Jiangxia(Obstetrics Department,Wuchuan County Peoples Hospital,Zunyi,Guizhou 564300,China)
出处 《首都食品与医药》 2024年第12期75-77,共3页 Capital Food Medicine
关键词 氨甲环酸 欣母沛 卡贝缩宫素 产后出血 临床疗效 价值 Tranexamic acid Xinmupei Carbetocin Postpartum hemorrhage Clinical efficacy:Value
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