宫缩乏力性产后出血临床治疗探析

2016-02-06关雪

中国卫生标准管理 2016年5期

关雪

宫缩乏力性产后出血临床治疗探析

关雪

【摘要】目的探究宫缩乏力性产后出血患者应采取的治疗方法和效果。方法选取2014年4月～2015年10月我院收治的67例宫缩乏力性产后出血患者进行治疗研究，随机分组，实验组35例患者选择缩宫素、米索前列醇以及欣母沛的联合治疗，对照组32例患者给予常规治疗。结果实验组患者治疗有效率为94．29%，不良反应发生率为0%；对照组患者治疗有效率为84．4%，不良反应发生率为6．3%，两组患者疗效和不良反应率差异具有统计学意义（P＜0．05）。结论宫缩乏力性产后出血患者采用缩宫素和米索前列醇以及欣母沛的综合治疗，有助于子宫收缩，有止血效果，预后效果好。

【关键词】宫缩乏力性产后出血；米索前列醇；缩宫素

Objective Treatment method and its effect for patients with postpartum hemorrhage caused by uterine inertia are to be studied． Methods Chose 67 patients with postpartum hemorrhage caused by uterine inertia who were treated in hospital from April 2014 to October 2015 and separated them into two groups at random，35 patients in study group were given combination treatment of oxytocin，misoprostol and hemabate，while another 32 patients in control group were given conventional treatment． Results Patients’ treatment efficacy was 94．29% and side-effect incidence was 0% in study group，while，patients’ treatment efficacy was 84．4% and side-effect incidence was 6．3% in control group，thus，there was a differential between two groups in terms of treatment efficacy and side-effect incidence（P＜0．05）． Conclusion Combination treatment of oxytocin，misoprostol and hemabate is quite effective for patients with postpartum hemorrhage caused by uterine inertia，such a treatment is beneficial for patients’ uterine contraction and it has favorable hemostasis effect and good prognosis outcome．

【Key words】 Postpartum hemorrhage caused by uterine inertia，Misoprostol，Oxytocin

产后出血属于常见的并发症，病情严重，若不能给予及时有效的干预，会导致孕妇死亡，其中造成产后出血最主要的原因就是宫缩乏力，占比为70%～80%［1］。产后出血为胎儿娩出的24 h内，阴道有超过400 ml以上的流血。针对该类患者必须选择显效的治疗方法，若单纯采用缩宫素的治疗，疗效一般，可给予缩宫素和米索前列醇以及欣母沛的综合治疗［2］。选取2014年4月～2015 年10月我院收治的67例宫缩乏力性产后出血患者进行治疗研究，观察治疗效果和出血量，进行分析和研究，现报告如下。