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目的:观察卡前列素氨丁三醇在治疗产后出血中的疗效。方法:选取住院分娩的产后出血孕妇92例,分成两组:观察组56例,在胎儿娩出后宫体注射缩宫素20U无效的情况下,宫体注射或肌肉注射卡前列素氨丁三醇针250μg。对照组36例,在常规应用缩宫素20U无效后,加大缩宫素的用量,但总量控制在60U以内。观察两组产后2h及24h的出血量及疗效。结果:观察组产后2h及24h的出血量明显少于对照组(P<0.05),观察组的有效率为98.2%,高于对照组的80.5%(P<0.05)。结论:卡前列素氨丁三醇治疗产后出血疗效显著,应用越早,效果越好,是一种安全、高效、迅速治疗产后出血的方法。
Objective: To observe the effect of carboprost trometamol in the treatment of postpartum hemorrhage. Methods: 92 cases of postpartum hemorrhage in hospitalized delivery were divided into two groups: 56 cases in the observation group. When the uterine body injected with oxytocin 20U was ineffective, the intrauterine injection or intramuscular injection of carboprost tromethamine 250 μg. The control group of 36 cases, after the routine application of oxytocin 20U invalid, increase the amount of oxytocin, but the total control within 60U. Two groups of postpartum 2h and 24h bleeding and efficacy. Results: The bleeding volume in observation group was significantly less than that in control group at 2h and 24h after birth (P <0.05). The effective rate in observation group was 98.2%, which was higher than that in control group (80.5%, P <0.05). CONCLUSION: The effect of carboprost trometamol on postpartum hemorrhage is significant. The earlier the application is, the better the effect is. It is a safe, effective and rapid method of treating postpartum hemorrhage.