在人工剥离胎盘术中的应用研究

摘要

Objective:To study on the application of nitroglycerin as uterine relaxant in obstetric placental retention time.Method:From June 2013 to June 2014 year in my courtyard and Ruijin City family planning service station delivery complicated with placenta retention need emergency uterine relaxation were a total of 82 cases,were randomly divided into nitroglycerin group,atropine group,propofol group,effect analysis of clinical.Result:The nitroglycerin group preoperative preparation time,onset time,after administration of operation time and the effective rate was better than atropine group and propofol group,statistically significant difference(P<0.05),and the intraoperative blood pressure, pulse rate,the amount of vaginal bleeding was no statistical significance(P>0.05).Conclusion:Nitroglycerin can be used for manual removal of placenta uterine relaxation,a way to use convenient,effect ideal,fast effect,little side effect,is worth the clinical promotion.%目的：研究硝酸甘油作为子宫松弛剂在产科胎盘滞留时的应用。方法：将2013年6月-2014年6月本院及瑞金市计划生育服务站分娩产妇合并胎盘滞留者需紧急子宫松弛者共82例，随机分为硝酸甘油组、阿托品组、丙泊酚组，分析各组临床使用效果。结果：硝酸甘油组术前准备时间、给药后的起效时间、施术时间、有效率均优于阿托品组及丙泊酚组，差异均有统计学意义（P<0.05），而术中血压、脉搏、阴道出血量比较差异无统计学意义（P>0.05）。结论：硝酸甘油可应用于人工剥离胎盘术前子宫松弛，有使用途径方便、作用效果理想、起效快、副作用小的特点，值得临床推广。