首页|麦角新碱联合双侧宫颈钳夹在宫缩乏力产后出血患者中的应用价值

麦角新碱联合双侧宫颈钳夹在宫缩乏力产后出血患者中的应用价值

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目的 探究麦角新碱联合双侧宫颈钳夹在宫缩乏力产后出血患者中的应用价值.方法 回顾性选取太湖县妇幼保健院妇产科于2021年3月—2023年9月收治的70例宫缩乏力引起产后出血患者的临床资料,按照治疗方法不同将其分为两组,各35例.对照组使用麦角新碱,观察组使用麦角新碱联合双侧宫颈钳夹.比较两组之间的止血效果、出血情况、血红蛋白含量、血浆白蛋白含量及严重产后出血情况.结果 观察组止血总有效率比对照组高,差异有统计学意义(P<0.05);观察组产后2、24 h出血量比对照组少,止血时间比对照组短,差异有统计学意义(P均<0.05);观察组产后24 h血红蛋白含量为(114.04±8.42)g/L、产后24 h血浆白蛋白含量为(46.86±4.12)g/L,比对照组的(89.76±8.42)g/L、(42.12±3.56)g/L高,差异有统计学意义(t=12.063、5.150,P均<0.05).观察组严重产后出血率低于对照组,差异无统计学意义(P>0.05).结论 对宫缩乏力产后出血患者应用麦角新碱联合双侧宫颈钳夹治疗,患者出血量减少,止血时间缩短,严重产后出血率降低.
The Application Value of Ergometrine Combined with Bilateral Cervical Forceps in Patients with Uterine Atony and Postpartum Hemorrhage
Objective To explore the application value of ergometrine combined with bilateral cervical forceps in pa-tients with uterine atony and postpartum hemorrhage.Methods Retrospective selection was made on clinical data of seventy cases of postpartum hemorrhage caused by uterine inertia admitted by obstetrics and gynecology department of the Taihu Lake Maternal and Child Health Hospital from March 2021 to September 2023.They were divided into two groups with thirty-five cases each according to different treatment methods.The control group received ergometrine,while the observation group received ergometrine combined with bilateral cervical forceps.Compare the hemostatic ef-fect,bleeding situation,hemoglobin content,plasma albumin content,and severe postpartum hemorrhage between the control group and the observation group.Results The total effective rate of hemostasis in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The amount of bleeding at 2 and 24 hours postpartum in the observation group were lower than those in the control group,and the hemostasis time was shorter than that in the control group,the differences were statistically significant(all P<0.05).The hemoglobin content at 24 hours postpartum was(114.04±8.42)g/L and the plasma albumin content at 24 hours postpartum was(46.86±4.12)g/L in the observation group,which were higher than(89.76±8.42)g/L、(42.12±3.56)g/L in the control group,the differences were statistically significant(t=12.063,5.150,both P<0.05).The rate of severe postpartum hem-orrhage in the observation group was lower than that of the control group,the difference was statistically significant(P>0.05).Conclusion Ergometrine combined with bilateral cervical clamp was used in patients with postpartum hemor-rhage due to uterine inertia.The amount of bleeding was reduced,the hemostasis time was shortened,and the rate of severe postpartum hemorrhage was reduced.

Uterine contractions and fatiguePostpartum hemorrhageBilateral cervical forcepsErgoxineHem-ostatic effect

张海琴

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太湖县妇幼保健院妇产科,安徽 太湖 246400

宫缩乏力 产后出血 双侧宫颈钳夹 麦角新碱 止血效果

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)