Suppr超能文献

卡前列素氨丁三醇联合缩宫素对剖宫产产妇母婴结局、产后出血及子宫复旧的影响的队列研究总结。

Cohort Study Summary of the Effects of Carboprost Tromethamine Combined with Oxytocin on Infant Outcome, Postpartum Hemorrhage and Uterine Involution of Parturients Undergoing Cesarean Section.

机构信息

Department of Obstetrics and Gynecology, Yiwu Fuyuan Private Hospital, China.

出版信息

Comput Math Methods Med. 2022 Aug 25;2022:2233138. doi: 10.1155/2022/2233138. eCollection 2022.

Abstract

BACKGROUND

Carboprost tromethamine injection has a high safety factor in clinical application and has a good effect on uterine smooth muscle and vasoconstriction. Carboprost aminobutyriol combined with oxytocin may be beneficial to infant outcome and uterine involution after cesarean section.

OBJECTIVE

To investigate the effects of carboprost tromethamine combined with oxytocin on infant outcome, postpartum hemorrhage, and uterine involution in parturients undergoing cesarean section.

METHODS

A total of 120 parturients undergone cesarean section in our hospital from February 2019 to April 2021 were selected as the object of study. The parturients were randomly divided into control group ( = 60) and research group ( = 60). The control group was treated with oxytocin, and the research group was treated with carboprost aminobutyriol combined with oxytocin. The amount of maternal bleeding, uterine floor decline index, the end of lochia, poor rate of uterine involution, infant outcome, and the incidence of adverse drug reactions were compared between the two groups.

RESULTS

The amount of bleeding in the research group was significantly lower than that in the control group ( < 0.05). The position of the last uterine floor and the index of uterine floor downward movement in the research group were significantly higher than those in the control group ( < 0.05). The disappearance time of bloody lochia and serous lochia in the research group was significantly shorter than that in the control group ( < 0.05). The end time of lochia in the research group was higher than that in the control group, and the rate of uterine involution in the research group was lower than that in the control group ( < 0.05). The neonatal weight and Apgar score in the research group were higher than those in the control group, and the hospitalization rate of neonatal ICU in the research group was significantly lower than that in the control group. The incidence of adverse reactions in the research group was significantly lower than that in the control group ( < 0.05).

CONCLUSION

Carboprost aminobutyriol combined with carbestatin can effectively prevent the occurrence of bleeding after cesarean section, improve uterine involution, and improve neonatal birth quality, which is worth popularizing.

摘要

背景

卡前列素氨丁三醇注射液在临床应用中具有较高的安全系数,对子宫平滑肌和血管收缩有较好的作用。卡前列氨丁三醇联合缩宫素可能有利于剖宫产术后母婴结局和子宫复旧。

目的

探讨卡前列素氨丁三醇联合缩宫素对剖宫产产妇母婴结局、产后出血及子宫复旧的影响。

方法

选取 2019 年 2 月至 2021 年 4 月我院行剖宫产术的产妇 120 例为研究对象,采用随机数字表法将产妇分为对照组(n=60)和研究组(n=60)。对照组给予缩宫素治疗,研究组给予卡前列氨丁三醇联合缩宫素治疗。比较两组产妇的出血量、子宫底下降指数、恶露结束时间、子宫复旧不良率、母婴结局及不良反应发生率。

结果

研究组出血量明显少于对照组( < 0.05)。研究组最后子宫底位置及子宫底下降指数明显高于对照组( < 0.05)。研究组血性恶露及浆液性恶露消失时间明显短于对照组( < 0.05)。研究组恶露结束时间高于对照组,子宫复旧不良率低于对照组( < 0.05)。研究组新生儿体质量及 Apgar 评分高于对照组,新生儿 ICU 住院率明显低于对照组( < 0.05)。研究组不良反应发生率明显低于对照组( < 0.05)。

结论

卡前列氨丁三醇联合卡贝缩宫素可有效预防剖宫产术后出血的发生,促进子宫复旧,提高新生儿出生质量,具有临床推广价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8b/9436546/fb20b63af055/CMMM2022-2233138.001.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验