论文部分内容阅读
目的比较缩宫素不同用药方式在剖宫产术中的临床疗效。方法选取2012年1月—2014年5月于万安县人民医院接受剖宫产术的产妇86例,按随机原则分为对照组与观察组,各43例。对照组产妇于胎儿娩出后予以静脉注射缩宫素,观察组产妇于胎儿娩出后予以静脉滴注缩宫素。观察两组产妇子宫收缩情况(收缩良好、收缩一般、收缩较差)、心率变化情况、血压变化情况及不良反应发生情况。结果两组产妇在用药后5、10、15、20min宫缩情况比较,差异无统计学意义(P>0.05);用药前与用药后5min两组产妇心率比较,差异无统计学意义(P>0.05),用药后10min观察组产妇心率低于对照组,差异有统计学意义(P<0.05);用药前两组产妇舒张压与收缩压比较,差异无统计学意义(P>0.05),用药后5min观察组产妇舒张压与收缩压高于对照组,用药后10min观察组产妇舒张压与收缩压低于对照组(P<0.05);观察组产妇不良反应发生率低于对照组(P<0.05)。结论静脉滴注缩宫素在剖宫产术中的临床疗效好于静脉注射,可改善产妇血压、心率,且不良反应小,安全性高。
Objective To compare the clinical efficacy of oxytocin in different cesarean section methods. Methods Totally 86 maternal women who underwent caesarean section in Wanan County People’s Hospital from January 2012 to May 2014 were randomly divided into control group and observation group, with 43 cases in each group. The control group of mothers in the fetus after delivery of oxytocin to be intravenous injection, the observation group of mothers after the fetus was delivered intravenous oxytocin. Observation of two groups of maternal uterine contractions (good contraction, general contraction, poor contraction), heart rate changes, changes in blood pressure and adverse reactions. Results There was no significant difference in uterine contractions between the two groups at 5, 10, 15, 20 minutes after treatment (P> 0.05). There was no significant difference in heart rate between the two groups before and 5 minutes after treatment (P> 0.05). After 10 minutes of treatment, the maternal heart rate in observation group was lower than that in control group (P <0.05). There was no significant difference in the diastolic blood pressure and systolic blood pressure between the two groups before treatment (P> 0.05) The diastolic blood pressure and systolic blood pressure in the observation group after 5 minutes were higher than those in the control group. The diastolic blood pressure and systolic blood pressure in the observation group at 10 minutes after treatment were lower than those in the control group (P <0.05). The incidence of adverse reactions in the observation group was lower than that in the control group ). Conclusion Intravenous oxytocin in cesarean section in the clinical efficacy is better than intravenous injection, can improve maternal blood pressure, heart rate, and adverse reactions, high safety.