卡前列素氨丁三醇防治高危产妇剖宫产术中及术后出血临床分析

摘要

Objective:To analyze the clinical effect of carboprost tromethamine in the prevention and treatment of intranperative and postoperative cesarean bleeding in high-risk puerpera.Methods:80 cases of high-risk puerperal treated with cesarean delivery from July 2011 to August 2014 were divided into the treatment group and the control group according to the clinical treatment,with 40 cases in each group.The control group were injected with oxytocin,and the treatment group were injected with carboprost tromethamine.We observing the clinical results of the two groups.Results:The intraoperative blood loss,postoperative 4 h blood loss,postoperative 24 h blood loss of the treatment group were less than that of the control group,and there were statistically significant differences between the two groups(P<0.05).The incidence of adverse reactions of the treatment group were lower than that of the control group,and there was statistically significant difference between the two groups(P<0.05). Conclusion:Carboprost tromethamine in the prevention and treatment of cesarean bleeding loss in high-risk puerperal had significant clinical effect,worthy of promotion and application.%目的：分析卡前列素氨丁三醇防治高危产妇剖宫产术中及术后出血临床结果。方法：2011年7月-2014年8月收治剖宫产高危产妇80例，按临床治疗方法分成医治组、对照组，每组40例。对照组给予宫体缩宫素的注射，医治组给予宫体卡前列素氨丁三醇治疗，观察两组产妇临床结果。结果：医治组产妇的术中出血量、术后4 h出血量、术后24 h出血量和对照组产妇相比较少，两组间差异具有统计学意义(P＜0.05)。医治组产妇不良反应发生率和对照组产妇相比较低，两组间差异具有统计学意义(P＜0.05)。结论：卡前列素氨丁三醇防治高危产妇剖宫产出血，临床效果较为显著，值得推广使用。