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目的:分析瘢痕子宫产后出血预防和处理要点。方法:将2016年3月至2017年3月于重庆市江津区人口和计划生育生殖健康中心实施阴道分娩的52例瘢痕子宫产妇作为研究对象,将其分为预防组(n=26)与常规组(n=26),常规组给予缩宫素与益母草注射液治疗,预防组给予宫缩素与卡前列氨丁三醇治疗,对比观察其产后出血的原因、预防及处理方法。结果:预防组产妇产后出血率为3.85%,常规组产妇产后出血率为19.23%,组间比较,差异具有统计学意义(P<0.05)。同时,预防组产妇产后2 h、24 h平均出血量均较常规组低,差异具有统计学意义(P<0.05)。治疗后,预防组产妇中1例出现恶心症状,1例出现呕吐症状,常规组产妇中1例出现恶心症状,组间比较,差异无统计学意义(P>0.05)。结论:在瘢痕子宫产后出血的预防中,与益母草比较,卡前列素氨丁三醇的预防价值更加突出,降低产妇产后出血量与出血率。
Objective: To analyze the prevention and treatment of postpartum hemorrhage in uterine scar. Methods: From March 2016 to March 2017, 52 cases of scarring uterus delivered vaginally in Population and Family Planning Reproductive and Health Center of Jiangjin District in Chongqing were divided into prevention group (n = 26) and routine (N = 26). The conventional group was given oxytocin and motherwort injection. The prevention group was treated with erythritol and prostaglandin. The causes, prevention and treatment of postpartum hemorrhage were compared. Results: The rate of postpartum hemorrhage was 3.85% in the prevention group and 19.23% in the routine group. The differences between the two groups were statistically significant (P <0.05). At the same time, the average amount of bleeding in the prophylaxis group 2 h and 24 h postpartum were lower than the conventional group, the difference was statistically significant (P <0.05). After treatment, nausea occurred in 1 patient and 1 patient developed nausea in the prevention group. Nausea was found in 1 patient in the conventional group. There was no significant difference between the two groups (P> 0.05). CONCLUSION: In the prevention of postpartum hemorrhage in scar-shaped uterus, the preventive value of carboprost trometamol is more prominent than that of motherwort, reducing the amount of postpartum hemorrhage and bleeding rate.