不同方法应用欣母沛预防剖宫产产后出血的疗效比较

摘要

Objective:To discuss curative effect of prevent postpartum hemorrhage in cesarean section by intramuscular injection or intrauterine injection hemabate. Method:78 cases of cesarean section puerperant’ blood loss amount,curative effects,unhealthy emotions and life qualities who adopted intramuscular injection or intrauterine injection hemabate were observed.Result:Compared post operation 2 h blood loss amount,the differences hadn’t statistical significances(P>0.05);compared post operation 24 h blood loss amount,observation group better than control group,the differences hadn’t statistical significances(P<0.05).Observation group’s effective percentage was 82.05%, better than control group’s 79.94%,compared two groups’ results,the differences hadn’t statistical significances (P>0.05).Observation group puerperants’ HAMD,HAMA total scores and each factor’s score were all lower than control group,the differences hadn’t statistical significances(P<0.05).Every patient all have been followed up,observation group patients’ life qualities indexes PF,RP,RE scores all higher than control group,the differences had statistical significances(P<0.01).Conclusion:Prevent postpartum hemorrhage in cesarean section by two ways can get the same effect,but intramuscular injection hemabate can get better effect at decrease maternal hemorrhage within 24 h,improve maternal unhealthy emotion,and life quality.%目的：探讨肌注与宫体注射欣母沛两种方法预防剖宫产产后出血的疗效。方法：78例剖宫产产妇分别予以肌肉及宫体注射欣母沛，观察两组患者的出血量、临床疗效、不良情绪以及生活质量。结果：两组术后2 h出血量比较差异无统计学意义（P>0.05）；术后24 h出血量比较，观察组优于对照组，差异具有统计学意义（P<0.05）。观察组有效率为82.05%，对照组为79.49%，两组比较差异无统计学意义（P>0.05）。观察组产妇的HAMD、HAMA总分及各因子得分均低于对照组，差异具有统计学意义（P<0.05）。患者均无失访现象，观察组患者的生活质量指标PF、RP、RE得分均高于对照组，差异具有统计学意义（P<0.01）。结论：两种方法对于预防剖宫产产后出血效果相当，但肌肉注射欣母沛对于降低24 h内产妇出血效果更佳，且更利于改善产妇的不良情绪，提高生活质量。