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目的探讨卡前列素氨丁三醇注射液用于宫缩乏力性产后出血治疗效果。方法选取宫缩乏力性产后出血患者77例,按照随机数字表法分组,对照组38例予以缩宫素治疗,观察组39例于对照组基础上加用卡前列素氨丁三醇注射液治疗,比较两组治疗效果及止血时间、住院时间、不良反应。结果观察组治疗总有效率为94.87%(37/39),高于对照组73.68%(28/38),差异有统计学意义(P<0.05);观察组止血及住院时间均小于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为15.38%(6/39),对照组为13.16%(5/38),两组比较差异未见统计学意义(P>0.05)。结论卡前列素氨丁三醇注射液治疗宫缩乏力性产后出血,效果显著,安全性高,可缩短止血及住院时间。
Objective To investigate the effect of carboprost trometamol injection in treating postpartum hemorrhage due to uterine inertia. Methods Totally 77 patients with uterine inertia postpartum hemorrhage were selected and randomly divided into three groups: control group (38 cases) and oxytocin control group (39 cases) The curative effect, hemostasis time, hospitalization time and adverse reactions were compared between the two groups. Results The total effective rate of the observation group was 94.87% (37/39), which was higher than that of the control group (73.68%, 28/38) (P <0.05). The observation group had less bleeding and hospitalization time than the control group, The difference was statistically significant (P <0.05). The incidence of adverse reactions in the observation group was 15.38% (6/39) in the control group and 13.16% (5/38) in the control group, with no significant difference between the two groups (P> 0.05 ). Conclusion Carbiodide trometamol injection for the treatment of uterine inertia postpartum hemorrhage, the effect is significant, high safety, can reduce the bleeding and hospitalization time.