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目的探讨卡前列素氨丁三醇(欣母沛)治疗宫缩乏力性出血的临床效果。方法选取海门市第三人民医院2011年1月—2015年10月收治的39例自然分娩及剖宫产术中、术后因宫缩乏力大出血产妇,随机将产妇分为观察组21例和对照组18例。观察组产妇采取宫体、宫颈、臀部注射欣母沛治疗。对照组产妇应用米索前列醇治疗,观察两组产妇在产后2、8、24h出血情况,治疗效果及不良反应发生情况。结果观察组产妇产后2、4、24h出血量少于对照组,总有效率高于对照组,不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论欣母沛治疗产后宫缩乏力性出血的效果显著,可使产妇快速恢复子宫收缩,有效控制出血症状。
Objective To investigate the clinical effect of carboprost trometamol (Xinmaopen) in the treatment of uterine inert bleeding. Methods From January 2011 to October 2015, 39 cases of spontaneous labor and cesarean section admitted to the Third People’s Hospital of Haimen from January 2011 to October 2015 were randomly divided into observation group (21 cases) and control group Group of 18 cases. Observation group maternal take palace, cervix, buttocks injection Xinma Pei treatment. The control group maternal application of misoprostol treatment, observation of two groups of maternal postpartum 2,8,24h bleeding, the treatment effect and adverse reactions. Results The bleeding volume of the observation group was less than that of the control group at 2, 4 and 24 hours postpartum. The total effective rate was higher than that of the control group, and the incidence of adverse reactions was lower than that of the control group. The difference was statistically significant (P <0.05). Conclusion Xin Ma Pei treatment of postpartum uterine inertia bleeding effect is significant, can quickly restore uterine maternal contraction, effective control of bleeding symptoms.