首页|马来酸麦角新碱联合宫缩素对产后出血患者的疗效及安全性分析

马来酸麦角新碱联合宫缩素对产后出血患者的疗效及安全性分析

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目的 分析马来酸麦角新碱与宫缩素对产后出血患者的临床疗效和安全性.方法 随机选取2021年10月—2023年10月江苏省高邮市人民医院收治的100例产后出血患者为研究对象,随机数字法分对照组和观察组,各50例.对照组采用宫缩素治疗,观察组在其基础上联用马来酸麦角新碱.比较两组的产后出血情况、凝血功能、不良反应、临床疗效.结果 观察组的总有效率为92.00%,高于对照组,差异有统计学意义(χ2=5.741,P<0.05).两组产后30 min出血量对比,差异无统计学意义(P>0.05);观察组产后2 h、24 h出血量低于对照组,差异有统计学意义(P均<0.05).观察组止血时间短于对照组,差异有统计学意义(P<0.05).观察组患者血浆纤维蛋白原、血小板计数、D-二聚体均显著高于对照组,差异有统计学意义(P均<0.05).观察组凝血酶原时间显著低于对照组,差异有统计学意义(P<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(χ2=5.828,P<0.05).结论 宫缩素、马来酸麦角新碱联合治疗产后出血可显著缩短作用时间,降低出血量,调节凝血功能,并降低不良反应发生率.
Efficacy and Safety Analysis of is Ergometrine Maleate Combined with Oxytocin in Patients with Postpartum Hemorrhage
Objective To analyze the clinical efficacy and safety of ergotrine maleate combined wiht oxytocin in the treatment of postpartum hemorrhage.Methods One hundred cases of postpartum hemorrhage patients admitted to Gaoyou People's Hospital of Jiangsu Province from October 2021 to October 2023 were randomly selected for the study,and were divided into a control group and an observation group of 50 cases each by random number method.The control group was treated with oxytocin,and the observation group was coadministered with ergonovine maleate on its basis.Postpartum hemorrhage,coagulation function,adverse reactions,and clinical efficacy were compared be-tween the two groups.Results The total effective rate of the observation group was 92.00%,which was higher than that of the control group,and the difference was statistically significant(χ2=5.741,P<0.05).Comparison of hemorrhage 30 min after delivery between the two groups,the difference was not statistically significant(P>0.05);hemorrhage in the observation group was lower than that in the control group at 2 h and 24 h after delivery,and the differences were sta-tistically significant(both P<0.05).The hemostasis time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Plasma fibrinogen,platelet and D-dimer of patients in the observation group were significantly higher than those of the control group,and the differences were statistically significant(all P<0.05).Prothrombin time in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(χ2=5.828,P<0.05).Conclusion The combination of oxytocin and ergonovine maleate in the treatment of postpartum hemorrhage can sig-nificantly shorten the action time,reduce the amount of bleeding,adjust the coagulation function and reduce the inci-dence of adverse reactions.

Postpartum hemorrhageMaleate ergometrineOxytocinPlasma fibrinogenProthrombin timeD-dimer

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江苏省高邮市人民医院产科,江苏 高邮 225600

产后出血 马来酸麦角新碱 宫缩素 血浆纤维蛋白原 凝血酶原时间 D-二聚体

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)