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目的探讨卡孕栓联合缩宫素预防剖宫产产后出血的临床疗效,为临床治疗提供参考。方法选择2012年1月至2013年1月在林州市人民医院进行剖宫产手术的98例产妇作为观察对象,随机将98例患者分成观察组与对照组两组,每组49例。观察组患者在胎儿娩出后,立即给予缩宫素20 U子宫体肌肉注射,手术结束后予卡孕栓1 mg纳肛,然后给予生理盐水500 ml,缩宫素20 U(30滴/min)静脉滴注。对照组患者在胎儿娩出后,立即给予缩宫素20 U子宫体肌肉注射,手术结束后后给予生理盐水500 ml,缩宫素20 U(30滴/min)静脉滴注。比较两组患者术中及术后24 h出血量。结果观察组患者出血量为(236.8±45.9)ml,对照组患者出血量为(358.8±53.5)ml,观察组患者出血量明显少于对照组,差异有统计学意义(P<0.01)。结论卡孕栓联合缩宫素可有效预防剖宫产产后出血,可在临床中推广应用。
Objective To investigate the curative effect of carbamazepine combined with oxytocin in preventing bleeding after cesarean section and provide reference for clinical treatment. Methods A total of 98 maternal women who underwent caesarean section from January 2012 to January 2013 in Linzhou People’s Hospital were selected as observation objects. 98 patients were randomly divided into observation group and control group, with 49 cases in each group. Patients in the observation group were given intrauterine injection of oxytocin 20 U immediately after the delivery of the fetus. After the operation, they were given 1 mg of analgesic suppository and then 500 ml of normal saline and 20 U of oxytocin (30 drops / min) Intravenous infusion. Control group patients were given intrauterine injection of oxytocin 20 U immediately after the fetus was delivered. After the operation, 500 ml of saline and 20 U (30 drops / min) of oxytocin were given intravenously. The blood loss of patients in both groups during and 24 h after operation was compared. Results The amount of bleeding in the observation group was (236.8 ± 45.9) ml, while that in the control group was (358.8 ± 53.5) ml. The bleeding volume in the observation group was significantly less than that in the control group (P <0.01). Conclusion Cardamine suppository combined with oxytocin can effectively prevent cesarean section postpartum hemorrhage, which can be widely applied in clinic.