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目的观察卡前列素治疗宫缩乏力性产后出血的临床疗效。方法选择经阴道及剖宫产分娩,因宫缩乏力,在胎儿娩出至产后2h失血量≥400mL的患者共120例,随机分为对照组和观察组各60例。在胎儿娩出后常规应用缩宫素20U子宫体肌内注射,无效时对照组改用缩宫素20U静脉滴注,总量≤40U。观察组应用卡前列素250μg子宫体肌内注射,必要时间隔15min重复使用,总量≤500μg。结果观察组总有效率为95%,明显优于对照组的80%(P<0.01)。结论卡前列素治疗宫缩乏力性产后出血的临床疗效显著,具有高效、迅速、使用方便等优点,及时应用,效果明显。
Objective To observe the curative effect of cardiopulmonary on uterine inertia postpartum hemorrhage. Methods 120 cases of transvaginal and cesarean delivery, uterine inertia, 120 cases of blood loss ≥ 400 mL after delivery to fetus were randomly divided into control group and observation group of 60 cases. After the delivery of the fetus routine use of oxytocin 20U uterine intramuscular injection, the control group switched to oxytocin 20U intravenous infusion, the total ≤ 40U. Observation group applied cardoprost 250μg uterine body intramuscular injection, if necessary, repeated 15min intervals, the total ≤ 500μg. Results The total effective rate was 95% in the observation group, which was significantly better than 80% in the control group (P <0.01). Conclusion The clinical efficacy of card prostaglandin in the treatment of uterine inertia postpartum hemorrhage is significant, with the advantages of high efficiency, rapidity, easy to use, timely application, the effect is obvious.