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麦角新碱联合缩宫素治疗产后出血的临床预后分析

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目的 分析在治疗产后出血中实施麦角新碱联合缩宫素治疗的效果和预后.方法 选取安顺市妇幼保健院于2021年5月—2023年5月收治的60例产后出血患者为研究对象,采取信封法分为两组,每组30例.参考组应用缩宫素治疗,研究组在对照组的基础上加用麦角新碱治疗,对比两组治疗效果、临床指标、凝血功能、不良反应.结果 研究组治疗有效率为93.33%,高于参考组的70.00%,差异有统计学意义(χ2=5.455,P= 0.020);研究组临床指标优于参考组,差异有统计学意义(P<0.05);研究组凝血功能优于参考组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 在产后出血治疗中麦角新碱联合缩宫素治疗有着重要的临床应用价值,可以提高治疗效果,优化临床指标,改善凝血功能,并且不会增加不良反应.
Clinical Prognosis Analysis of Ergometrine Combined with Oxytocin in the Treatment of Postpartum Hemorrhage
Objective To analyze the effect and prognosis of ergometrine combined with oxytocin in the treatment of postpartum hemorrhage.Methods A total of 60 patients with postpartum hemorrhage admitted to Anshun Maternal and Child Health Hospital from May 2021 to May 2023 were selected as the study objects,and were divided into two groups with 30 cases in each group by envelope method.The reference group was treated with oxytocin,and the study group was treated with ergotrine on the basis of the control group.The therapeutic effect,clinical indicators,coagula-tion function and adverse reactions of the two groups were compared.Results The effective rate of the study group was 93.33%,higher than that of the reference group(70.00%),and the difference was statistically significant(χ2=5.455,P= 0.020).The clinical indexes of the study group were better than those of the reference group,and the difference was statistically significant(P<0.05).The coagulation function of the study group was better than that of the reference group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of postpartum hemorrhage,ergomet-rine combined with oxytocin has an important clinical application value,which can improve the therapeutic effect,op-timize the clinical indexes,improve the coagulation function,and will not increase the adverse reactions.

Postpartum hemorrhageErgometrineOxytocin

王玲、郭敏、吴兰香

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安顺市妇幼保健院妇产科,贵州安顺 561000

产后出血 麦角新碱 缩宫素

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(6)
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