卡前列素氨丁三醇联合卡前列甲酯栓治疗产后出血的效果和护理分析

摘要

Objective: To explore and analyze the clinical effect and nursing measures of the patients with postpartum hemorrhage treated by using the combination of the top row of the top of the card with the card of the top of the card, the three alcohol and the Carboprost Methylate Suppositorites. Methods: From July 2013 to August 2015, 120 cases of postpartum hemorrhage in our hospital were divided into observation group and control group, 60 cases in each group according to the time of admission. Patients in observation group were given carboprost tromethamine combined card forefront of methyl suppository in the treatment, the treatment and the quality of nursing care; in control group were treated with routine injection of oxytocin prime plus oral misoprostol tablets treatment, treatment and routine nursing measures. The treatment effect, postpartum hemorrhage and adverse reaction were compared between the two groups.Results: Observation group of patients with postpartum hemorrhage and the average amount of bleeding was significantly less than that of the control group (P<0.05); observation group, the effective rate 98.3% was significantly better than the control group, the effective rate of treatment is 81.7% (P<0.05); observation group of patients with adverse reaction rate of 11.7% was less than that of the control group (33.4%,P<0.05), with statistical significance.Conclusion: The clinical effect of the treatment of postpartum hemorrhage with the combination of the three alcohols of the top of the card and the top of the prostate is remarkable, which not only reduces the amount of postpartum hemorrhage, but also has less adverse reactions. It is worth to be popularized and applied in clinical practice.%目的：探究分析采用卡前列素氨丁三醇联合卡前列甲酯栓治疗产后出血的临床效果及护理措施。方法：选取2013年7月至2015年8月期间，在天津市和平区妇产科医院接受治疗的120例子宫收缩乏力性产后出血患者，依据入院时间分为观察组和对照组，每组60例。观察组患者给予卡前列素氨丁三醇联合卡前列甲酯栓治疗，治疗同时给予优质护理；对照组患者给予常规注射缩宫素加口服米索前列醇片治疗，治疗同时给予常规护理措施。比较两组患者的治疗效果、产后出血情况及不良反应情况。结果：观察组患者的产后出血量及平均出血量显著少于对照组(P<0.05)；观察组患者的治疗有效率98.3%显著优于对照组患者的治疗有效率81.7%(P<0.05)；观察组患者的不良反应发生率11.7%少于对照组患者的不良反应发生率33.4%(P<0.05)，具有统计学意义。结论：卡前列素氨丁三醇联合卡前列甲酯栓治疗产后出血的临床效果显著，不仅降低了患者的产后出血量，而且不良反应少，值得临床推广和应用。