首页|氨甲环酸联合麦角新碱治疗宫缩乏力性产后出血的效果

氨甲环酸联合麦角新碱治疗宫缩乏力性产后出血的效果

扫码查看
目的:观察氨甲环酸联合麦角新碱治疗宫缩乏力性产后出血的效果,以期提高产妇整体获益水平.方法:回顾性分析2022年2月-2023年2月郑州人民医院宫素联合麦角新碱治疗产后出血的40例剖宫产产妇的基线资料,并将其纳入对照组,采集同时期内采取氨甲环酸联合麦角新碱治疗产后出血的40例剖宫产产妇的基线资料,并将其纳入研究组,对比两组产妇治疗效果、一般情况、宫缩频率与宫底高度及安全性分析.结果:两组产妇治疗总有效率对比,差异无统计学意义(P>0.05);与对照组相比,研究组产妇出血症状消失、止血及血性恶露持续时间均较短,差异有统计学意义(t=10.010、31.341、14.218,P<0.05);与对照组相比,研究组产妇给药0.5 h、1.0h宫缩频率较高、宫底高度较低,差异有统计学意义(t=0.610、2.765,P<0.05);研究组产妇总发生率低于对照组,差异有统计学意义(x2=4.507,P<0.05).结论:氨甲环酸联合麦角新碱治疗剖宫产产后出血患者疗效显著、利于减少出血量、促进产后宫缩、加速产后恢复且安全可靠,可用于临床宫缩乏力性产后出血产妇的干预中.
Effect of Tranexamic Acid Combined with Ergonovine in the Treatment of Postpartum Hemorrhage Due to Uterine Atony
Objective:To observe the effect of tranexamic acid combined with ergonovine in the treatment of postpartum hemorrhage due to uterine atony,so as to improve the overall benefit level of puerpera.Methods:The baseline data of 40 cesarean section women who took oxytocin combined with ergonovine in the treatment of postpartum hemorrhage in the hospital from February 2022 to February 2023 were collected and included in the control group.The baseline data of 40 cesarean section women who took ergonovine combined with tranexamic acid in the treatment of postpartum hemorrhage during the same period were collected and included in the study group.The treatment effect,general condition,uterine contraction frequency and fundus height,and safety analysis were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).Compared with the control group,the disappearance of bleeding symptoms,hemostasis and duration of lochia bloody in the study group were shorter(t=10.010,31.341,14.218;P<0.05).Compared with the control group,the frequency of uterine contraction was higher and the height of fundus was lower in the study group at 0.5 h and 1.0 h after administration(t=0.610,2.765;P<0.05).The total incidence of the study group was lower than that of the control group(x2=4.507,P<0.05).Conclusion:Ergonovine combined with tranexamic acid is effective in the treatment of postpartum hemorrhage after cesarean section,which can reduce the amount of bleeding,promote postpartum contraction and accelerate postpartum recovery.It is safe and reliable,and can be used in the clinical intervention of postpartum hemorrhage with uterine atonic.

Postpartum hemorrhage due to uterine fatigueErgosineTranexamic acidCoagulation function

邵志萍、张曦辉、王言研

展开 >

河南中医药大学第五临床医学院·郑州人民医院产科,河南 郑州 450000

宫缩乏力性产后出血 麦角新碱 氨甲环酸 凝血功能

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(23)