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目的:分析缩宫素联合卡前列素氨丁三醇(欣母沛)预防剖宫产术后出血。方法:选取2014年8月至2015年8月在本院行剖宫产手术且有产后出血倾向的孕产妇95例为研究对象,随机分为两组,对照组予以缩宫素静脉滴注和宫体注射,观察组在对照组基础上加用卡前列素氨丁三醇注射液,对比两组患者术后2 h、24 h出血量、产后出血及药物不良反应发生率。结果:观察组产后2 h、24 h出血量均少于对照组(P<0.05),产后出血率低于对照组(P<0.05)。两组产后药物不良反应比较,差异无统计学意义(P>0.05)。结论:缩宫素联合卡前列素氨丁三醇应用剖宫产术中,能有效预防和减少剖宫产术后出血量,降低产后出血的发生率、降低孕产妇病死率。
Objective: To analyze oxytocin combined with card prostaglandin tromethamine (Yan Xin Pei) to prevent bleeding after cesarean section. Methods: Ninety-five pregnant women who underwent cesarean section and postpartum hemorrhage in our hospital from August 2014 to August 2015 were selected as study subjects and randomly divided into two groups. The control group received oxytocin intravenous infusion Palace injection, the observation group in the control group plus carboprost tromethamine injection, two groups of patients after 2 h, 24 h bleeding, postpartum hemorrhage and adverse drug reactions. Results: The amount of hemorrhage in observation group after 2 h and 24 h postpartum was less than that in control group (P <0.05), and the rate of postpartum hemorrhage was lower than that in control group (P <0.05). Two groups of postpartum drug adverse reactions, the difference was not statistically significant (P> 0.05). Conclusion: oxytocin combined with carboprost tromethamine in cesarean section, can effectively prevent and reduce the amount of bleeding after cesarean section, reduce the incidence of postpartum hemorrhage and reduce maternal mortality.