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缩宫素联合卡前列甲酯预防高危妊娠产后出血的效果及其对血压的影响

The Effect of Oxytocin plus Carboprost Methylate in Preventing Postpartum Hemorrhage in High-Risk Pregnancy and Its Effect on Blood Pressure.

作者信息

Wei Lin, Yang Haiping, Sun Xiaoli

机构信息

Department of Obstetrics, Anhui Lujiang County People's Hospital, Lujiang County, Lucheng, Anhui Province, China.

出版信息

Evid Based Complement Alternat Med. 2022 May 30;2022:9878482. doi: 10.1155/2022/9878482. eCollection 2022.

Abstract

. This study aimed to explore and analyze the effectiveness of oxytocin plus carboprost methylate in preventing postpartum hemorrhage in high-risk pregnancies and its effect on blood pressure. A total of 60 women with high-risk pregnancies who gave birth in our hospital from January 2020 to May 2021 were recruited and assigned via random number table method (1 : 1) to receive either oxytocin (control group) or oxytocin plus carboprost methylate (observation group). Outcome measures included hemorrhage and blood pressure. The bleeding volume of the women in the observation group (210.55 ± 45.98, 45.21 ± 9.27, and 73.74 ± 12.18) was significantly less than that in the control group during delivery and 2h and 24h after the delivery (276.91 ± 49.21, 72.98 ± 19.68, and 92.61 ± 15.67) (all < 0.05). The observation group showed a significantly lower bleeding rate (6.67%) than the control group (16.67%) ( < 0.05). The two groups showed similar diastolic and systolic blood pressures ( > 0.05). Oxytocin plus carboprost methylate suppository effectively prevents postpartum hemorrhage in high-risk pregnancies, significantly reduces the amount of postpartum hemorrhage in high-risk pregnancies, and has little effect on the blood pressure of patients. Given its favorable treatment efficiency and high safety profile, this treatment protocol shows great potential for clinical application.

摘要

本研究旨在探讨和分析缩宫素联合卡前列甲酯预防高危妊娠产后出血的效果及其对血压的影响。选取2020年1月至2021年5月在我院分娩的60例高危妊娠妇女,采用随机数字表法(1∶1)分为缩宫素组(对照组)和缩宫素联合卡前列甲酯组(观察组)。观察指标包括出血情况和血压。观察组产妇分娩时、产后2小时及24小时的出血量(210.55±45.98、45.21±9.27、73.74±12.18)明显少于对照组(276.91±49.21、72.98±19.68、92.61±15.67)(均P<0.05)。观察组出血率(6.67%)明显低于对照组(16.67%)(P<0.05)。两组舒张压和收缩压比较,差异无统计学意义(P>0.05)。缩宫素联合卡前列甲酯栓能有效预防高危妊娠产后出血,显著减少高危妊娠产后出血量,且对患者血压影响小。该治疗方案治疗效果良好,安全性高,具有较大的临床应用潜力。

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