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目的:研究雌激素在预防引产患者产后出血及缩短产程中的临床应用价值。方法:选取2012年12月~2013年12月如东县人民医院收治的286例终止妊娠妇女的临床资料,随机将患者分为两组,其中对照组128例、观察组158例。观察组在注射利凡诺1天后给予3 mg己烯雌酚口服,3次/d。对照组不服用雌激素。比较两组产妇的产后出血量与产程时间。结果:观察组产后出血量明显低于对照组,差异有统计学意义(P<0.05)。观察组从羊膜腔注药到宫缩发动的时间短于对照组,差异有统计学意义(P<0.05)。观察组的产程时间短于对照组,差异有统计学意义(P<0.05)。结论:引产患者产前口服雌激素有利于提高子宫收缩的敏感性,达到控制产后出血量及预防产后出血的目的,还可以缩短引产产程,有着较高的应用价值,值得临床推广应用。
Objective: To study the clinical value of estrogen in preventing postpartum hemorrhage and shortening labor in induced labor. Methods: The clinical data of 286 pregnant women who were terminated in pregnancy in Rudong County People’s Hospital from December 2012 to December 2013 were randomly divided into two groups: control group (128 cases) and observation group (158 cases). The observation group received 3 mg of diethylstilbestrol once a day after rivanol injection, 3 times / d. The control group did not take estrogen. Postpartum hemorrhage and labor duration were compared between the two groups. Results: The amount of postpartum hemorrhage in the observation group was significantly lower than that in the control group (P <0.05). Observation group from the amniotic cavity injection of contractions to start shorter than the control group, the difference was statistically significant (P <0.05). The duration of labor in the observation group was shorter than that in the control group, the difference was statistically significant (P <0.05). Conclusion: Prenatal oral estrogen is beneficial to improve the sensitivity of uterine contractions, to control the amount of postpartum hemorrhage and prevent postpartum hemorrhage. It can shorten the induction of labor and has a high value of application, which is worthy of clinical application.