首页|卡前列素氨丁三醇联合地塞米松预防妊高症产妇产后出血的效果

卡前列素氨丁三醇联合地塞米松预防妊高症产妇产后出血的效果

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目的:研究卡前列素氨丁三醇联合地塞米松对妊高症产妇产后出血的预防效果及对血流动力学的影响。方法:选取我院 2019 年 6 月—2022 年 6 月收治的 86 例妊高症产妇作为研究对象,按照随机数字表法分为对照组43 例和观察组43例。对照组给予地塞米松进行治疗,观察组给予卡前列素氨丁三醇联合地塞米松进行治疗。比较两组临床疗效、炎性因子水平、血流动力学情况、产后出血发生情况。结果:观察组治疗总有效率为97。67%,高于对照组的83。72%(P<0。05);观察组MAP、CVP、HR水平高于对照组(P<0。05);观察组hs-CRP、TLR4 及PGE水平低于对照组(P<0。05);观察组产后 2 h、2~24 h出血率低于对照组(P<0。05)。结论:卡前列素氨丁三醇联合地塞米松能够降低妊高症产妇产后出血发生风险,改善血流动力学,抑制炎症因子表达,具有临床应用价值。
Effect of Carboprost Tromethamine Combined with Dexamethasone on Prevention of Postpartum Hemorrhage in Pregnant Women with Pregnancy Induced Hypertension
Objective:To study the preventive effect of carboprost tromethamine combined with dexamethasone on postpartum hemorrhage in pregnancy induced hypertension and its influence on hemodynamics.Methods:A total of 86 pregnant women with pregnancy-induced hypertension admitted to our hospital from June 2019 to June 2022 were selected as the research objects.According to the random number table method,they were divided into control group(43 cases)and observation group(43 cases).The control group was treated with dexamethasone,and the observation group was treated with carboprost tromethamine combined with dexamethasone.The clinical efficacy,inflammatory factor levels,hemodynamics and postpartum hemorrhage were compared between the two groups.Results:The total effective rate of treatment in the observation group was 97.67%,which was higher than 83.72%in the control group(P<0.05).The levels of MAP,CVP and HR in the observation group were higher than those in the control group(P<0.05).The levels of hs-CRP,TLR4 and PGE in the observation group were lower than those in the control group(P<0.05).The bleeding rate at 2 h and 2-24 h after delivery in the observation group was lower than that in the control group(P<0.05).Conclusion:Carboprost tromethamine combined with dexamethasone can reduce the risk of postpartum hemorrhage in pregnant women with pregnancy-induced hypertension,improve hemodynamics,inhibit the expression of inflammatory factors,and have clinical application value.

Carboprost tromethamineDexamethasonePregnancy induced hypertensionHemodynamics

王改玲、吴英杰、孙红敏、樊虹

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洛阳市偃师区妇幼保健院妇产科,河南 洛阳 471000

洛阳新里程医院内分泌科,河南 洛阳 471000

郑州市第三人民医院妇产科,河南 郑州 450000

卡前列素氨丁三醇 地塞米松 妊高症产妇 血流动力学

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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