[1]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):110-112.[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].Journal of Medical Information,2022,35(21):110-112.[doi:10.3969/j.issn.1006-1959.2022.21.027]
点击复制

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()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
110-112
栏目:
临床研究
出版日期:
2022-11-01

文章信息/Info

Title:
Preventive Effect of Oxytocin Intravenous Micropump and Intravenous Drip on Maternal Postpartum Hemorrhage Risk
文章编号:
1006-1959(2022)21-0110-03
作者:
张小珍韩丽琼
(上饶市广丰区人民医院妇产科,江西 上饶 334600)
Author(s):
ZHANG Xiao-zhenHAN Li-qiong
(Department of Obstetrics and Gynecology,Shangrao Guangfeng District People’s Hospital,Shangrao 334600,Jiangxi,China)
关键词:
产后出血缩宫素静脉滴注微量泵药物半衰期
Keywords:
Postpartum hemorrhageOxytocinIntravenous dripMicropumpDrug half-life
分类号:
R714.46
DOI:
10.3969/j.issn.1006-1959.2022.21.027
文献标志码:
A
摘要:
目的 观察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。方法 选取2020年10月-2021年10月于广丰区人民医院妇产科分娩的86例产妇为研究对象,按照治疗方式分为对照组和观察组,每组43例。对照组产妇于胎儿娩出后给予缩宫素常规静脉滴注,观察组产妇于胎儿娩出后给予缩宫素静脉微量泵输注,比较两组子宫收缩效果、产后出血量、产后出血发生率、不良事件及并发症发生情况。结果 观察组宫缩优良率为95.35%,高于对照组的81.40%(P<0.05);观察组产后2、24 h出血量及产后出血发生率均小于对照组(P<0.05);观察组不良事件发生率为2.33%,低于对照组的16.28%(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论 缩宫素静脉微量泵方案可促进产后子宫收缩,降低产后出血量及出血风险,不良事件少,并发症风险低,其效果优于静脉滴注方案。
Abstract:
Objective To observe the preventive effect of oxytocin intravenous micro pump and intravenous drip on the risk of postpartum hemorrhage.Methods A total of 86 parturients who gave birth in the Department of Obstetrics and Gynecology of Guangfeng District People’s Hospital from October 2020 to October 2021 were selected as the research objects. According to the treatment methods, they were divided into control group and observation group, with 43 cases in each group. The control group was given routine intravenous infusion of oxytocin after delivery, and the observation group was given intravenous infusion of oxytocin by micro pump after delivery. The uterine contraction effect, postpartum hemorrhage, incidence of postpartum hemorrhage, adverse events and complications were compared between the two groups.Results The excellent and good rate of uterine contraction in the observation group was 95.35%, which was higher than 81.40% in the control group (P<0.05). The amount of bleeding at 2 and 24 hours after delivery and the incidence of postpartum hemorrhage in the observation group were lower than those in the control group (P<0.05). The incidence of adverse events in the observation group was 2.33%, which was lower than 16.28% in the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05).Conclusion Oxytocin intravenous micropump regimen can promote postpartum uterine contraction, reduce postpartum hemorrhage and bleeding risk, with fewer adverse events and lower risk of complications. Its effect is better than that of intravenous drip regimen.

参考文献/References:

[1]于艳丽,郑皆红.静脉滴注缩宫素计划分娩对孕足月胎膜早破孕妇血清IL-6和细胞粘附因子-1水平的影响[J].中国妇幼保健,2020,35(19):3594-3596.[2]季景环,任静华,孙志敏,等.氨甲环酸联合缩宫素预防剖宫产产后出血的效果及对凝血功能的影响[J].解放军医药杂志,2019,31(11):89-92.[3]杨艳芬,田立霞,万秋爽.麦角新碱、欣母沛和缩宫素预防和治疗阴道分娩宫缩乏力性产后出血疗效及安全性[J].中国计划生育学杂志,2019,27(10):1343-1347.[4]Jin XH,Li D,Li X.Carbetocin vs oxytocin for prevention of postpartum hemorrhage after vaginal delivery: A meta-analysis[J].Medicine,2019,98(47):e17911.[5]韩慧慧,冯翀,黑江荣.卡前列素氨丁三醇联合缩宫素对剖宫产产后出血的疗效及对氧化应激凝血功能的影响[J].河北医学,2018,24(11):1833-1837.[6]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.[7]纪春花,杨春,张甜,等.卡贝缩宫素预防妊娠期高血压剖宫产产后出血的疗效及安全性评价[J].中国医院药学杂志,2018,38(21):2263-2266.[8]邰莹,刘海霞,陈必良.不同药物联合缩宫素对预防剖宫产高危产妇产后出血的效果及对凝血功能的影响[J].解放军医药杂志,2018,30(7):84-87.[9]卫蔷,张力,吴琳,等.麦角新碱联合卡贝缩宫素与单用缩宫素预防剖宫产产后出血研究[J].中国实用妇科与产科杂志,2018,34(6):640-644.[10]陈怡.卡前列素氨丁三醇、麦角新碱、缩宫素三联疗法预防产后出血的临床疗效观察[J].中国妇幼保健,2018,33(6):1266-1268.[11]石蕊,赵可新,陈立芳,等.卡前列素氨丁三醇用于产后出血治疗的有效性与安全性分析[J].中国临床药理学杂志,2017,33(16):1597-1600.[12]张小红.马来酸麦角新碱与缩宫素预防高危产妇产后出血效果比较[J].中国药业,2017,26(14):69-71.[13]韩秀琴,李荣英,孙亚丽,等.卡贝缩宫素预防宫缩乏力性产后出血疗效观察[J].武警医学,2016,27(5):479-481.[14]张洪丽,白睿.卡贝缩宫素对宫缩乏力性产后出血的预防作用观察[J].海南医学院学报,2017,23(1):120-122,126.[15]郑同英,钟思燕.卡贝缩宫素及卡前列素氨丁三醇联合产后出血预测评分表预防产后出血的临床研究[J].河北医学,2016,22(7):1075-1078.[16]Keikhaie KR,Behzadmehr R,Salarzaeis M. Comparison of Two Doses of Oxytocin Regimes toPrevent Post-Caesarean Bleeding Due to Uterine Atony inPregnant Women Referring to Amir-al Momenin Hospitalof Zabol in 2016[J]. Annals of Medical &Health Sciences Research,2016,7(6):405-407.[17]刘亚静,邬玺钻,李红云,等.缩宫素联合米索前列醇预防产后出血的临床效果观察[J].中国生化药物杂志,2016,36(3):37-39.[18]Seow KM,Chen KH,Wang PH,et al.Carbetocin versus oxytocin for prevention of postpartum hemorrhage in infertile women with twin pregnancy undergoing elective cesarean delivery[J].Taiwanese Journal of Obstetrics and Gynecology,2017,56(3):273-275.

相似文献/References:

[1]崔玉萍.子宫压迫缝合术在产后出血治疗中的应用效果观察[J].医学信息,2018,31(01):98.[doi:10.3969/j.issn.1006-1959.2018.01.035]
 CUI Yu-ping.Observation of the Effect of Uterine Compression Suture in the Treatment of Postpartum Hemorrhage[J].Journal of Medical Information,2018,31(21):98.[doi:10.3969/j.issn.1006-1959.2018.01.035]
[2]游琪华.循证护理与单纯全程陪产护理模式在产科分娩中的应用与对比研究[J].医学信息,2018,31(01):179.[doi:10.3969/j.issn.1006-1959.2018.01.072]
 YOU Qi-hua.The Application and Comparative Study of Evidence-based Nursing and Pure Whole Course Paternity Nursing Mode in Obstetric Delivery[J].Journal of Medical Information,2018,31(21):179.[doi:10.3969/j.issn.1006-1959.2018.01.072]
[3]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].Journal of Medical Information,2018,31(21):91.[doi:10.3969/j.issn.1006-1959.2018.15.028]
[4]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].Journal of Medical Information,2018,31(21):117.[doi:10.3969/j.issn.1006-1959.2018.19.035]
[5]蒋红梅.子宫B-Lynch缝合技术在预防剖宫产产后出血中的应用价值[J].医学信息,2019,32(06):130.[doi:10.3969/j.issn.1006-1959.2019.06.042]
 JIANG Hong-mei.The Application Value of Uterine B-Lynch Suture Technique in Preventing Postpartum Hemorrhage of Cesarean Section[J].Journal of Medical Information,2019,32(21):130.[doi:10.3969/j.issn.1006-1959.2019.06.042]
[6]原心玥,胡玉红,冯晓娜.葆宫止血颗粒联合卡前列素氨丁三醇注射液对剖宫产产后出血的防治研究[J].医学信息,2019,32(06):154.[doi:10.3969/j.issn.1006-1959.2019.06.049]
 YUAN Xin-yue,HU Yu-hong,FENG Xiao-na.Prevention and Treatment of Postpartum Hemorrhage after Cesarean Section with BaogongZhixueGranulesCombined with Carboprost Tromethamine Injection[J].Journal of Medical Information,2019,32(21):154.[doi:10.3969/j.issn.1006-1959.2019.06.049]
[7]黄伟彪,张 金,杨佰郁,等.产后出血栓塞治疗的新进展[J].医学信息,2019,32(18):21.[doi:10.3969/j.issn.1006-1959.2019.18.008]
 HUANG Wei-biao,ZHANG Jin,YANGBai-yu,et al.New Progress in Postpartum Thromboembolism[J].Journal of Medical Information,2019,32(21):21.[doi:10.3969/j.issn.1006-1959.2019.18.008]
[8]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].Journal of Medical Information,2022,35(21):109.[doi:10.3969/j.issn.1006-1959.2022.18.029]
[9]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].Journal of Medical Information,2022,35(21):71.[doi:10.3969/j.issn.1006-1959.2022.20.017]
[10]牛欣荣,郭咏珺,杨 丽.产后出血的病因、诊断及治疗研究进展[J].医学信息,2022,35(20):161.[doi:10.3969/j.issn.1006-1959.2022.20.045]
 NIU Xin-rong,GUO Yong-jun,YANG Li.Research Progress on Etiology, Diagnosis and Treatment of Postpartum Hemorrhage[J].Journal of Medical Information,2022,35(21):161.[doi:10.3969/j.issn.1006-1959.2022.20.045]

更新日期/Last Update: 1900-01-01