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目的:探析卡孕栓或催产素单独或联合应用在产妇产后出血中的预防效果。方法:分析2015年2月~2016年8月在我院产科足月妊娠的66例自然分娩产妇的临床资料。根据用药方式的不同,将入选者分成对照组1(卡孕栓,21例)、对照组2(催产素,22例)和观察组(卡孕栓+催产素,23例)三组。比较三组产妇的基线资料、第三产程及产后出血情况、产前宫缩过强情况、用药后的不良反应及新生儿窒息情况。结果:三组基线资料无显著差异性。观察组产妇的第三产程时间、产后2h及24h出血量以及产后出血率均显著较对照组1、对照组2低;三组产妇产前均未出现宫缩过强的现象;各组新生儿窒息情况及用药后的不良反应发生率无显著性差异。结论:催产素+卡孕栓联合应用在产妇产后出血中具有良好的预防效果,不仅操作简便、不良反应小,而且可以显著缩短第三产程时间、降低产后出血量,值得推广。
Objective: To investigate the preventive effect of carbamazepine or oxytocin alone or in combination in maternal postpartum hemorrhage. Methods: Clinical data of 66 cases of spontaneous labor during term pregnancy in our hospital from February 2015 to August 2016 were analyzed. The patients were divided into three groups: control group 1 (21 cases), control group 2 (oxytocin 22 cases) and observation group (cataprust + oxytocin, 23 cases). The baseline data, the third stage of labor and postpartum hemorrhage, the excess prenatal contractions, the adverse reactions after medication and neonatal asphyxia were compared among the three groups. Results: There was no significant difference between the three groups of baseline data. The observation group maternal third stage of labor time, 2h and 24h postpartum hemorrhage and postpartum hemorrhage rate were significantly lower than the control group 1, the control group 2 low; the three groups of prenatal premature uterine contractions are not too strong phenomenon; each group of newborns Asphyxia and the incidence of adverse reactions after medication no significant difference. Conclusion: The combination of oxytocin and carbamazepine has a good preventive effect in postpartum hemorrhage. It not only has the advantages of simple operation and small adverse reactions, but also can shorten the duration of the third stage of labor and reduce the amount of postpartum hemorrhage, which deserves promotion.