首页|缩宫素结合卡前列素氨丁三醇在高危妊娠分娩者产后出血治疗中的作用

缩宫素结合卡前列素氨丁三醇在高危妊娠分娩者产后出血治疗中的作用

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目的 分析缩宫素结合卡前列素氨丁三醇在高危妊娠分娩者产后出血治疗中的作用.方法 选取2021年1月-2023年12月我院接收的40例高危妊娠产后出血产妇作为研究对象,按照随机数字表法分为对照组和研究组,每组20例.对照组给予缩宫素治疗,研究组在对照组基础上联合卡前列素氨丁三醇治疗.比较两组临床疗效、出血情况[红细胞比容(HCT)、血红蛋白(Hb)]、凝血功能[血浆纤维蛋白原(FIB)、活化部分凝血活酶时间(APTT)、D-二聚体(D-D)]及氧化应激指标水平[超氧化物歧化酶(SOD)、丙二醛(MDA)、过氧化氢酶(CAT)].结果 研究组治疗总有效率(95.00%)高于对照组(70.00%)(P<0.05);研究组治疗后Hb、HCT水平高于对照组(P<0.05);研究组APTT、D-D水平低于对照组,FIB水平高于对照组(P<0.05);研究组MDA水平低于对照组,CAT、SOD水平高于对照组(P<0.05).结论 缩宫素结合卡前列素氨丁三醇可改善高危妊娠分娩者产后的凝血功能和氧化应激反应,防止产后出血,效果确切,值得临床应用.
Effrect of Oxytocin Combined with Carboprost Tromethamine in the Treatment of Postpartum Hemorrhage in High-risk Pregnant Women
Objective To analyze the effect of oxytocin combined with carboprost tromethamine in the treatment of postpartum hemorrhage in high-risk pregnant women.Methods A total of 40 high-risk pregnant women with postpartum hemorrhage received in our hospital from January 2021 to December 2023 were selected as the research objects. According to the random number table method,they were divided into control group and study group,with 20 high-risk pregnant women in each group. The control group was treated with oxytocin,and the study group was treated with carboprost tromethamine on the basis of the control group. The clinical efficacy,bleeding[hematocrit (HCT),hemoglobin (Hb)],coagulation function[plasma fibrinogen (FIB),activated partial thromboplastin time (APTT),D-dimer (D-D)]and oxidative stress index levels[superoxide dismutase (SOD),malondialdehyde (MDA),catalase (CAT)]were compared between the two groups.Results The total effective rate of treatment in the study group (95.00%) was higher than that in the control group (70.00%) (P<0.05). The levels of Hb and HCT in the study group were higher than those in the control group (P<0.05). The APTT and D-D levels in the study group were lower than those in the control group,and the FIB level was higher than that in the control group (P<0.05). The MDA level in the study group was lower than that in the control group,and the CAT and SOD levels were higher than those in the control group (P<0.05).Conclusion Oxytocin combined with carboprost tromethamine can improve the postpartum coagulation function and oxidative stress reaction in high-risk pregnancy women,and prevent postpartum hemorrhage. The effect is definite and worthy of clinical application.

High-risk pregnancyPostpartum hemorrhageCarboprost tromethamineOxytocin

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分宜县人民医院妇产科,江西 分宜 336600

高危妊娠 产后出血 卡前列素氨丁三醇 缩宫素

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(22)