首页|马来酸麦角新碱联合卡前列素氨丁三醇注射液在预防产后出血中应用效果

马来酸麦角新碱联合卡前列素氨丁三醇注射液在预防产后出血中应用效果

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目的 探讨马来酸麦角新碱联合卡前列素氨丁三醇注射液在预防产后出血中应用效果.方法 研究对象选自2022 年 3 月至 2023 年 2 月在焦作市第二人民医院生产的 86 例产妇,分为对照组和观察组,每组例数均为 43 例,采用的分组方法为随机数字表法.于常规对症治疗基础上,对照组使用卡前列素氨丁三醇治疗,观察组于对照组基础上给予马来酸麦角新碱.比较两组患者临床疗效、恢复情况、凝血功能及不良反应发生情况.结果 观察组产后 2 h的治疗有效率(95.35%)较对照组(74.42%)更高,差异具有统计学意义(P<0.05).与对照组进行比较,观察组子宫底下降速度相对更快,观察组恶露持续时间相对更短,产后 2 h出血量及产后 24 h出血量均相对更少,差异均有统计学意义(P<0.05).两组术后 24 h血浆D-二聚体(D-D)、纤维蛋白原(FIB)水平较术前降低,且观察组较对照组相对更低,凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)较术前缩短,且观察组较对照组相对更短,差异均有统计学意义(P<0.05).研究期间,两组不良反应发生率相比,差异无统计学意义(P>0.05).结论 马来酸麦角新碱联合卡前列素氨丁三醇注射液在预防产妇产后出血中应用效果较好,子宫底下降速度相对更快,恶露持续时间更短,且产后2 h出血量及产后 24 h出血量均相对更少,同时改善凝血功能,且联合用药安全性较高.
The Application Effect of Methylergometrine Maleate Combined with Carboprost Tromethamine Injection in Preventing Postpartum Hemorrhage
Objective To explore the application effect of methylergometrine maleate combined with carboprost tromethamine injection in preventing postpartum hemorrhage.Methods The research subjects were selected from 86 parturients who gave birth in The Second People's Hospital of Jiaozuo from March 2022 to February 2023.They were divided into a control group and an observation group,with 43 cases in each group,and the grouping method was the random number table method.On the basis of routine symptomatic treatment,the control group was treated with carboprost tromethamine,and the observation group was given methylergometrine maleate on the basis of the control group.The clinical efficacy,recovery situation,coagulation function,and adverse reactions of the two groups of patients were compared.Results The treatment effectiveness rate of the observation group 2 hours after delivery(95.35%)was higher than that of the control group(74.42%),and the difference was statistically significant(P<0.05).Compared with the control group,the speed of uterine bottom drop in the observation group was relatively faster,the duration of lochia in the observation group was relatively shorter,and the amount of bleeding 2 hours and 24 hours after delivery was relatively less,and the differences were statistically significant(P<0.05).The levels of plasma D-dimer(D-D)and fibrinogen(FIB)in the two groups were lower 24 hours after surgery than before surgery,and the observation group was relatively lower than the control group.The prothrombin time(PT)and activated partial thromboplastin time(APTT)were shortened compared with before surgery,and the observation group was relatively shorter than the control group,and the differences were statistically significant(P<0.05).During the research period,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The application effect of methylergometrine maleate combined with carboprost tromethamine injection in preventing postpartum hemorrhage in parturients is good,the speed of uterine bottom drop is relatively faster,the duration of lochia is shorter,and the amount of bleeding 2 hours and 24 hours after delivery is relatively less,while improving coagulation function,and the safety of combined medication is high.

postpartum hemorrhagemethylergometrinecarboprost tromethaminepreventionapplication effect

宋加加、王莎莎、李妍芳

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焦作市第二人民医院 妇产科,河南 焦作 454000

产后出血 麦角新碱 卡前列素氨丁三醇 预防 应用效果

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)