脑垂体后叶素与欣母沛治疗宫缩乏力性产后出血的价值比较.docVIP

精品论文 参考文献 脑垂体后叶素与欣母沛治疗宫缩乏力性产后出血的价值比较 湘西自治州人民医院妇产科 湖南湘西 427000 【摘 要】目的：探讨临床应用脑垂体后叶素与欣母沛治疗宫缩乏力性产后出血的疗效。方法：选择我院2014年12月-2015年12月间128例宫缩乏力性产后出血孕妇，随机分为对照组和观察组（各64例）。其中对照组给予孕妇欣母沛250mu;g肌注，观察组在对照组的基础上在子宫肌壁给予脑垂体后叶素6U肌肉注射，若为阴道分娩则由宫颈处注入。对比两组孕妇的产后2h出血量、产后24h出血量、产后出血发生率以及治疗前后的出血量。结果：观察组产妇的产后出血发生率7.8%，显著低于对照组21.9%，差异有统计学意义（Plt;0.05）；产后2h以及24h出血量均明显低于对照组，差异有统计学意义（Plt;0.05）；观察组与对照组治疗前后出血量的比较，差异有统计学意义（Plt;0.05）。结论：临床上使用脑垂体后叶素与欣母沛治疗宫缩乏力性产后出血的疗效明显，可以有效降低产妇产后出血的发生率，改善产后出血情况，缓解产妇痛苦，提高孕妇生产质量，值得临床应用推广。 【关键词】脑垂体后叶素；欣母沛；宫缩乏力性；产后出血 [Abstract] objective：to study the clinical application of pituitary evvh mother repeatedly with hin contractions fatigue sex of postpartum hemorrhage curative effect.Methods：our hospital between December 2014 - December 2015 128 cases of postpartum hemorrhage contractions fatigue sex pregnant woman，were randomly divided into control group and observation group（64 cases）.The control group to give pregnant women mother yan pei 250 mu g intramuscular injection，on the basis of the observation group in the control group in uterine muscle wall to give the pituitary evvh 6 u muscle injection，for it is the cervix into the vaginal delivery.Compared two groups of pregnant women in the postnatal 2 h and 24 h postpartum blood loss，incidence of postpartum hemorrhage and blood loss before and after treatment.Results：the observation group of maternal postpartum hemorrhage rate 7.8%，significantly lower than the control group 21.9%，the difference was statistically significant（P lt; 0.05）；Postpartum 2 h and 24 h blood loss were significantly lower than the control group，the difference was statistically significant（P lt; 0.05）；Observation group was compared with the control group before and after treatment the bleeding，the difference was statistically significant（P lt; 0.05）.Conclusion：the clinical use of pituitary evvh mother pei treatment with hin contractions postpartum hemorrhage curative effect is obvious lack of sex，can effectively reduce the incidence of maternal postpar