[1]石 健.欣母沛联合缩宫素治疗子宫收缩乏力性产后出血的效果[J].医学信息,2022,35(02):163-165.[doi:10.3969/j.issn.1006-1959.2022.02.042]
 SHI Jian.Effect of Hemabate Combined with Oxytocin in the Treatment of Uterine ContractionFatigue Postpartum Hemorrhage[J].Medical Information,2022,35(02):163-165.[doi:10.3969/j.issn.1006-1959.2022.02.042]
点击复制

欣母沛联合缩宫素治疗子宫收缩乏力性产后出血的效果()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年02期
页码:
163-165
栏目:
药物与临床
出版日期:
2022-01-15

文章信息/Info

Title:
Effect of Hemabate Combined with Oxytocin in the Treatment of Uterine ContractionFatigue Postpartum Hemorrhage
文章编号:
1006-1959(2022)02-0163-03
作者:
石 健
邳州市妇幼保健院妇产科,江苏 邳州 221300
Author(s):
SHI Jian
Department of Obstetrics and Gynecology,Pizhou Maternal and Child Health Hospital,Pizhou 221300,Jiangsu,China
关键词:
欣母沛缩宫素子宫收缩乏力性产后出血
Keywords:
HemabateOxytocinUterine contraction fatigue postpartum hemorrhage
分类号:
R714.46+1
DOI:
10.3969/j.issn.1006-1959.2022.02.042
文献标志码:
A
摘要:
目的 探讨子宫收缩乏力性产后出血患者采用欣母沛与缩宫素联合治疗的临床疗效与安全性。方法 选取2018年2月-2020年10月我院分娩后发生子宫收缩乏力性产后出血的76例患者为研究对象,采用随机数字表法分为对照组和观察组,各38例。对照组予以缩宫素治疗,观察组在对照组基础上联合欣母沛治疗,比较两组临床治疗效果、产后出血量、凝血功能指标(凝血酶原和凝血活酶时间、纤维蛋白原)。结果 观察组治疗总有效率为97.37%,高于对照组的76.32%,差异有统计学意义(P<0.05);观察组产后2、24 h出血量均少于对照组,差异有统计学意义(P<0.05);观察组凝血酶原和凝血活酶时间均大于对照组,纤维蛋白原水平低于对照组,差异有统计学意义(P<0.05)。结论 欣母沛联合缩宫素治疗子宫收缩乏力性产后出血效果确切,可减少出血量,改善凝血功能,有效性及安全性良好。
Abstract:
Objective To investigate the clinical efficacy and safety of hemabate combined with oxytocin in the treatment of uterine contraction fatigue postpartum hemorrhage.Methods A total of 76 patients with uterine atony postpartum hemorrhage after delivery in our hospital from February 2018 to October 2020 were selected as the study subjects. They were divided into control group and observation group by random number table method, with 38 cases in each group. The control group was treated with oxytocin, and the observation group was treated with hemabate on the basis of the control group. The clinical therapeutic effect, postpartum hemorrhage, coagulation function indexes (prothrombin and thrombin time, fibrinogen) of the two groups were compared.Results The total effective rate of the observation group was 97.37%, which was higher than 76.32% of the control group, and the difference was statistically significant (P<0.05). The amount of bleeding at 2 and 24 h after delivery in the observation group was less than that in the control group, and the difference was statistically significant (P<0.05). The prothrombin time and thrombin time in the observation group were higher than those in the control group, and the fibrinogen level was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Hemabate combined with oxytocin is effective in the treatment of uterine contraction fatigue postpartum hemorrhage, which can reduce the amount of bleeding, improve coagulation function, with application effectiveness and safety.

参考文献/References:

[1]余丽红.欣母沛治疗宫缩乏力性产后出血的临床效果和护理研究[J].中外医学研究,2018,16(25):86-87. [2]仇艺,谢涵.卡贝缩宫素对阴道分娩产后出血的预防作用[J].复旦大学学报(医学版),2014,41(1):102-104.[3]彭丹,李丽琴,龚翠梅.产后出血预测评分及防治机制在预防剖宫产宫缩乏力性出血中的效果分析[J].中国临床新医学,2016,9(6):526-528.[4]林绿,李群.欣母沛联合改良B-Lynch子宫缝合术在剖宫产难治性子宫收缩乏力性产后出血中的应用[J].中国医药科学,2019,9(8):104-106.[5]周海红,金红梅.卡前列甲酯栓联合卡前列素氨丁三醇预防和治疗子宫收缩乏力性产后出血的临床效果与安全性[J].中国医药,2021,16(5):741-744. [6]单媛媛,黎渊明.血管结扎与栓塞术治疗剖宫产术后子宫收缩乏力性产后出血疗效[J].中国计划生育学杂志,2020,28(2):268-271. [7]吴彩丽,徐军,薛代兰.欣母沛联合改良 B-Lynch 子宫缝合术防治剖宫产子宫收缩乏力性产后出血的临床效果研究[J].湖南师范大学学报(医学版),2017,14(1):167-170.[8]周会娜.子宫缝合术联合欣母沛治疗子宫收缩乏力性产后出血[J].河南医学高等专科学校学报,2019,31(3):351-353. [9]张美玲,罗思通,王艳春.欣母沛与COOK球囊压迫宫腔联合治疗剖宫产产后出血的效果分析及血液动力学指标的影响评价[J].中国计划生育和妇产科,2020,12(2):76-78,83.[10]李书平.卡贝缩宫素与欣母沛预防剖宫产高危产妇产后出血效果及对凝血功能的影响[J].中外医学研究,2020,18(1):31-33.[11]李婷婷,党利梅,范静.氨甲环酸联合欣母沛与卡贝缩宫素治疗前置胎盘产后出血的临床观察[J].中国实用医刊,2020,47(17):98-101.[12]陈媛媛.欣母沛早期防治B-Lynch缝合术后宫缩乏力性产后出血55例[J].中国药业,2015,24(23):203-204.[13]何兴梅.B-Lynch缝合联合卡前列素氨丁三醇治疗剖宫产子宫收缩乏力性产后出血的疗效观察[J].华夏医学,2019,32(3):123-126. [14]马冬艳,张春燕. 生化汤联合欣母沛治疗产后胎盘残留效果[J].中国计划生育学杂志,2020,28(5):670-673.[15]李飞飞,余丽金,刘彬,等.欣母沛联合卡贝缩宫素预防宫缩乏力性产后出血的疗效[J].中国计划生育学杂志,2018,26(10):986-988.

相似文献/References:

[1]蒋红梅.益母草注射液联合格丹及欣母沛在前置胎盘剖宫产 术后出血中的应用及安全性分析[J].医学信息,2018,31(11):140.[doi:10.3969/j.issn.1006-1959.2018.11.045]
 JIANG Hong-mei.Application and Safety Analysis of Herba Leonurus Injection Combined with Gedan and Hemabate in Bleeding after Caesarean Section of Placenta Praevia[J].Medical Information,2018,31(02):140.[doi:10.3969/j.issn.1006-1959.2018.11.045]
[2]陈登宏.COOK宫颈扩张球囊与缩宫素促宫颈成熟引产的临床观察[J].医学信息,2018,31(15):91.[doi:10.3969/j.issn.1006-1959.2018.15.028]
 CHEN Deng-hong.Clinical Observation of COOK Cervical Dilatation Balloon and Oxytocin for Promoting Cervical Ripening Induced Labor[J].Medical Information,2018,31(02):91.[doi:10.3969/j.issn.1006-1959.2018.15.028]
[3]宋晓娟.缩宫素与COOK双球囊在促进宫颈成熟合并引产的临床对比研究[J].医学信息,2018,31(19):117.[doi:10.3969/j.issn.1006-1959.2018.19.035]
 SONG Xiao-juan.Clinical Comparative Study of Oxytocin and COOK Double Balloon in Promoting Cervical Ripening and Induction of Labor[J].Medical Information,2018,31(02):117.[doi:10.3969/j.issn.1006-1959.2018.19.035]
[4]李晓君.麦角新碱联合米索前列醇、缩宫素在胎盘早剥产后大出血的临床效果及对应激反应的影响[J].医学信息,2023,36(19):141.[doi:10.3969/j.issn.1006-1959.2023.19.031]
 LI Xiao-jun.Clinical Effect of Ergometrine Combined with Misoprostol and Oxytocin in Postpartum Hemorrhage of Placental Abruption and its Effect on Stress Response[J].Medical Information,2023,36(02):141.[doi:10.3969/j.issn.1006-1959.2023.19.031]
[5]周宏芳.欣母沛对高危孕妇凝血功能指标及产后出血风险的影响[J].医学信息,2022,35(18):109.[doi:10.3969/j.issn.1006-1959.2022.18.029]
 ZHOU Hong-fang.Effect of Hemabate on Coagulation Function Indexes and Postpartum Hemorrhage Risk in High Risk Pregnant Women[J].Medical Information,2022,35(02):109.[doi:10.3969/j.issn.1006-1959.2022.18.029]
[6]程 芳,辛 婷,王满兰,等.宫颈球囊扩张术联合缩宫素在初产妇引产中的效果观察[J].医学信息,2022,35(20):71.[doi:10.3969/j.issn.1006-1959.2022.20.017]
 CHENG Fang,XIN Ting,WANG Man-lan,et al.Effect Observation of Cervical Balloon Dilatation Combined with Oxytocin in Induced Labor of Primipara[J].Medical Information,2022,35(02):71.[doi:10.3969/j.issn.1006-1959.2022.20.017]
[7]张小珍,韩丽琼.缩宫素静脉微量泵与静脉滴注对产妇产后出血风险的预防作用[J].医学信息,2022,35(21):110.[doi:10.3969/j.issn.1006-1959.2022.21.027]
 ZHANG Xiao-zhen,HAN Li-qiong.Preventive Effect of Oxytocin Intravenous Micropump and Intravenous Drip on Maternal Postpartum Hemorrhage Risk[J].Medical Information,2022,35(02):110.[doi:10.3969/j.issn.1006-1959.2022.21.027]
[8]傅 青,易云佩.益母草胶囊治疗产后子宫复旧不良的临床效果及对产妇月经恢复的影响[J].医学信息,2022,35(21):137.[doi:10.3969/j.issn.1006-1959.2022.21.036]
 FU Qing,YI Yun-pei.The Clinical Effect of Yimucao Capsule in the Treatment of Postpartum Uterine Involution and its Effect on Maternal Menstrual Recovery[J].Medical Information,2022,35(02):137.[doi:10.3969/j.issn.1006-1959.2022.21.036]
[9]靳紫薇,谢 玲.间苯三酚联合缩宫素对自然分娩初产妇促宫颈成熟的效果[J].医学信息,2023,36(02):130.[doi:10.3969/j.issn.1006-1959.2023.02.027]
 JIN Zi-wei,XIE Ling.Effect of Phloroglucinol Combined with Oxytocin on Cervical Ripening in Primiparas with Natural Childbirth[J].Medical Information,2023,36(02):130.[doi:10.3969/j.issn.1006-1959.2023.02.027]
[10]范文芳,刘起江.缩宫素联合分娩镇痛对产妇宫颈成熟度及机体应激状态的影响[J].医学信息,2021,34(23):108.[doi:10.3969/j.issn.1006-1959.2021.23.031]
 FAN Wen-fang,LIU Qi-jiang.Effect of Oxytocin Combined with Labor Analgesia on Cervical Maturity and Stress State of Parturients[J].Medical Information,2021,34(02):108.[doi:10.3969/j.issn.1006-1959.2021.23.031]
[11]周 燕.欣母沛联合缩宫素治疗产后出血的效果及对患者凝血功能的影响[J].医学信息,2023,36(18):148.[doi:10.3969/j.issn.1006-1959.2023.18.029]
 ZHOU Yan.Effect of Hemabate Combined with Oxytocin in the Treatment of Postpartum Hemorrhage and its Effect on Coagulation Function[J].Medical Information,2023,36(02):148.[doi:10.3969/j.issn.1006-1959.2023.18.029]

更新日期/Last Update: 1900-01-01