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目的探讨卡孕栓防治高危孕产妇剖宫产后出血的临床观察。方法选取80例有剖宫产指征且有高危因素者,随机分为卡孕栓组和对照组。卡孕栓组40例舌下含服卡孕栓0.5mg,可间断使用,最高可应用至6mg。对照组:缩宫素注射液20U,宫体注射,必要时可加用20U静滴。观察术中、产后2h、产后24h内出血量,用药前后血压变化及不良反应进行比较。结果卡孕栓组与对照组相比,术中、产后2h、产后24h出血量明显减少,差异有统计学意义,且不良反应轻微,血压无明显变化。结论卡孕栓用于预防和治疗高危孕产妇剖宫产后出血具有效果显著、应用安全方便、经济适用等优点,值得推广。
Objective To investigate the effect of carbamazepine on preventing post-cesarean section bleeding in high-risk pregnant women. Methods Eighty patients with cesarean indications and high risk factors were randomly divided into the control group and the control group. Carprost suppository group of 40 cases sublingual subcontracted card pregnant suppository 0.5mg, intermittent use, up to 6mg. Control group: oxytocin injection 20U, intrauterine injection, if necessary, add 20U intravenous infusion. The intraoperative, postpartum 2h, intrapartum hemorrhage within 24 hours, changes in blood pressure before and after treatment and adverse reactions were compared. Results Compared with the control group, the amount of bleeding in intra-operative, post-partum 2h and post-natal 24 hours was significantly lower in the Kapusi group than in the control group with statistically significant differences in adverse reactions and no significant changes in blood pressure. Conclusion The use of carbamazepine in the prevention and treatment of high-risk pregnant women after cesarean section has a significant effect of bleeding, the application of safe and convenient, economical and other advantages, it is worth promoting.