[1]顾彩凤.瘢痕子宫或巨大胎儿产妇剖宫产后应用麦角新碱联合缩宫素预防宫缩乏力产后出血的效果分析[J].中国实用乡村医生杂志,2020,27(02):63-65.[doi:10.3969/j.issn.1672-7185.2020.02.023 ]
 GU Caifeng.Effect of Oxytocin Combined with Ergonovine on Prevention of Postpartum Hemorrhage due to Uterine Atony for Women with Scarred Uterus or Fetal Macrosomia[J].Chinese Practical Journal of Rural Doctor,2020,27(02):63-65.[doi:10.3969/j.issn.1672-7185.2020.02.023 ]
点击复制

瘢痕子宫或巨大胎儿产妇剖宫产后应用麦角新碱联合缩宫素预防宫缩乏力产后出血的效果分析()
分享到:

《中国实用乡村医生杂志》[ISSN:1672-7185/CN:21-1502/R]

卷:
27
期数:
2020年02期
页码:
63-65
栏目:
论著
出版日期:
2020-02-15

文章信息/Info

Title:
Effect of Oxytocin Combined with Ergonovine on Prevention of Postpartum Hemorrhage due to Uterine Atony for Women with Scarred Uterus or Fetal Macrosomia
文章编号:
 1672-7185(2020)02-0063-03 
作者:
顾彩凤
作者单位:223700 江苏 泗阳,泗阳县中医院妇产科
Author(s):
GU Caifeng
(Department of Obstetrics and Gynecology, Siyang Hospital of Traditional Chinese Medicine, Siyang 223700, Jiangsu Province, China)
关键词:
 产后出血宫缩乏力预防缩宫素麦角新碱瘢痕子宫巨大胎儿效果
Keywords:
 Postpartum Hemorrhage Uterine Atony Prevention Oxytocin Ergot New Alkaloid Acarred Uterus Fetal Macrosomia Effect
分类号:
 R71 
DOI:
10.3969/j.issn.1672-7185.2020.02.023
文献标志码:
 A
摘要:
 目的 分析在因瘢痕子宫或巨大胎儿行剖宫产产妇中,应用缩宫素联合麦角新碱预防宫缩乏力产后出血的效果。方法 选取2017年10月—2018年12月泗阳县中医院接收的因瘢痕子宫或巨大胎儿行剖宫产产妇102例为研究对象,随机分为对照组和观察组各51例。对照组产后静脉注射缩宫素,观察组静脉注射缩宫素联合肌内注射麦角新碱,对比两组产后2 h、24 h出血量以及红细胞下降值、血红蛋白下降值、宫缩乏力产后出血发生率及不良反应发生情况。结果 观察组产后2 h、24 h出血量以及红细胞下降值、血红蛋白下降值、宫缩乏力产后出血发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率略高于对照组,但差异无统计学意义(P>0.05)。结论 缩宫素联合麦角新碱能够减少因瘢痕子宫或巨大胎儿行剖宫产产妇的产后出血量,预防宫缩乏力产后出血,且不会增加不良反应,值得推广使用。
Abstract:
 Objective To analyze the effect of oxytocin combined with ergonovine in preventing postpartum hemorrhage due to uterine atony. Methods From October 2017 to December 2018, 102 cases of cesarean section women with scarred uterus or fetal macrosomia, which were collected from Siyang Hospital of Traditional Chinese Medicine, were selected as the research objects. According to the random number table, all women were divided into the control group and the observation group, 51 cases in each group. The control group was given intravenous oxytocin, while the observation group was given intravenous oxytocin combined with ergometrine intramuscularly. The amount of bleeding, the decrease of erythrocyte, the decrease of hemoglobin, the incidence of postpartum hemorrhage and the occurrence of adverse reactions were compared at 2 and 24 hours after delivery. Results The blood loss, erythrocyte decrease and hemoglobin decrease in the observation group were significantly lower than those in the control group at 2 h and 24 h after delivery (P<0.05).The incidence of postpartum hemorrhage in the observation group (5.88%) was significantly lower than that in the control group (21.57%) (P<0.05). The incidence of adverse reactions in the observation group (5.88%) was slightly higher than that in the control group (1.96%) (P>0.05). Conclusion Oxytocin combined with ergonosine can reduce the amount of postpartum hemorrhage, and prevent postpartum hemorrhage of uterine atony, and do not increase adverse reactions, so it has the value of promotion and application.

参考文献/References:

[1]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.
[2] 华克勤.实用妇产科学[ M].北京:人民卫生出版社,2013:657-659.
[3] 刘兴会,陈锰.全球产后出血指南异同[J].中国实用妇科与产科杂志,2017,33(6):556-559.
[4] 中华医学会妇产科学分会产科学组.产后出血预防与处理指南(2014)[J].中华妇产科杂志,2014,49(9):641­-646.
[5] JAMES AH, GROTEGUT C, AHMADZIA H, et al. Management of coagulopathyin postpartum hemorrhage[J]. Semin Thromb Hemost, 2016, 42(7): 724-731.
[6] 汪俊丽,胡南英,魏岩.缩宫素联合麦角新碱与单纯应用缩宫素预防选择性剖宫产产后出血的疗效与安全性研究[J].中国药理学通报,2018,34(9):1331-1332.
[7] 李娜,刘常燕,王茜.马来酸麦角新碱联合缩宫素治疗子宫收缩乏力的效果评价[ J ].中国妇幼保健,2018,33(19):77-79.
[8]冯晓云,韩冰,徐桂冉,等.缩宫素联合马来酸麦角新碱预防宫缩乏力产后出血的疗效及安全性探讨[J].解放军预防医学杂志,2019,37(1):111-113.
[9]宋小侠,卢燕玲,翁廷松,等.马来酸麦角新碱、卡贝缩宫素及卡前列素氨丁三醇预防和治疗宫缩乏力性产后出血效果的比较[J].广东医学,2017,38(18):2850-2852.

相似文献/References:

[1]陈贵斌.临床护理路径在预防产后出血中的效果观察[J].中国实用乡村医生杂志,2018,25(10):71.[doi:10.3969/j.issn.1672-7185.2018.10.027 ]
 CHEN Guibin.The Effect Observation of Clinical Nursing Pathway on the Prevention of Postpartum Hemorrhage[J].Chinese Practical Journal of Rural Doctor,2018,25(02):71.[doi:10.3969/j.issn.1672-7185.2018.10.027 ]

备注/Memo

备注/Memo:
收稿日期:2019-05-06)

更新日期/Last Update: 2020-03-10