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目的研究卡前列氨丁三醇针与米索前列醇片联合应用在高危妊娠产后出血的疗效。方法选择2014年5月~2016年5月,医院收治的高危妊娠产后出血患者92例,随机分为对照组和观察组,每组患者46例。对照组患者单独使用米索前列醇片进行治疗,观察组患者使用卡前列氨丁三醇针与米索前列醇片联合治疗。治疗后,对比两组患者术中及术后出血量,同时对比两组患者的治疗效果。结果治疗后,观察组患者在术中、术后2h、术后24h出血量分别为(442.81±14.82)ml、(274.39±11.92)ml、(281.15±10.2)ml,均低于对照组患者(P<0.05);治疗后,观察组患者治疗总有效率为93.48%,高于对照组患者的76.09%(P<0.05)。结论采用卡前列氨丁三醇针与米索前列醇片联合使用,对于高危妊娠产后出血的治疗,能够取得更为理想的疗效。
Objective To study the effect of combination of cardinal trometamol and misoprostol in postpartum hemorrhage of high-risk pregnancy. Methods From May 2014 to May 2016, 92 patients with postpartum hemorrhage in high-risk pregnancy admitted to the hospital were randomly divided into control group and observation group with 46 patients in each group. Patients in the control group were treated with misoprostol alone, and patients in the observation group were treated with cardamine and misoprostol. After treatment, the two groups of patients were compared intraoperative and postoperative bleeding, while comparing the treatment effect of two groups of patients. Results After treatment, the amount of hemorrhage in the observation group was (442.81 ± 14.82) ml, (274.39 ± 11.92) ml and (281.15 ± 10.2) ml respectively at 2 hours and 24 hours after operation, both of which were lower than those in the control group P <0.05). After treatment, the total effective rate of the observation group was 93.48%, which was higher than that of the control group (76.09%, P <0.05). Conclusion The use of card top tromethamine needle and misoprostol tablets in combination, for the treatment of postpartum hemorrhage in high-risk pregnancies, to achieve a more ideal effect.