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目的探讨卡前列素氨丁三醇在有产后出血高危因素产妇中的应用效果。方法 60例有产后出血高危因素的产妇,随机分为常规组和卡前列素氨丁三醇组,每组30例。常规组产妇进行常规治疗,卡前列素氨丁三醇组产妇在常规治疗的基础上给予卡前列素氨丁三醇治疗。对比两组产妇的治疗效果及不同时间段的产后出血量。结果卡前列素氨丁三醇组总有效率96.67%高于常规组73.33%,差异具有统计学意义(χ~2=6.4052,P<0.05)。常规组产后2 h出血量为(358.6±125.3)ml,产后2~24 h出血量为(209.8±34.5)ml;卡前列素氨丁三醇组产后2 h出血量为(117.4±51.2)ml,产后2~24 h出血量为(168.4±23.6)ml;卡前列素氨丁三醇组产后2 h、产后2~24 h的出血量均少于常规组,差异均具有统计学意义(t=9.7602、5.4249,P<0.05)。结论在常规治疗的基础上给予有产后出血高危因素产妇采用卡前列素氨丁三醇治疗效果突出,值得临床借鉴。
Objective To investigate the effect of carboprost trometamol in women with high risk of postpartum hemorrhage. Methods Sixty pregnant women with risk factors for postpartum hemorrhage were randomly divided into routine group and carboprost trometamol group, 30 cases in each group. Conventional group of mothers for routine treatment, carboprost tromethamine group of women on the basis of conventional treatment given carboprost trometamol treatment. Compare the treatment effect of two groups of maternal and postpartum hemorrhage in different time periods. Results The total effective rate of carboprost trometamol group was 96.67% higher than that of the conventional group (73.33%), the difference was statistically significant (χ ~ 2 = 6.4052, P <0.05). The amount of bleeding in the routine group was (358.6 ± 125.3) ml 2 h postpartum and (209.8 ± 34.5) ml 2 to 24 h postpartum, and the amount of bleeding was (117.4 ± 51.2) ml (168.4 ± 23.6) ml after 2 ~ 24 h postpartum. The amounts of bleeding in 2 hours and 2 to 24 hours post-partum in the carboprost trometamol group were all less than those in the conventional group (t = 9.7602,5.4249, P <0.05). Conclusion On the basis of routine treatment, giving maternal risk factors for postpartum hemorrhage with carboprost trometamol outstanding results, it is worth learning from.