欣母沛联合马来酸麦角新碱预防阴道分娩产后出血的有效性及产后恢复的影响

doi:10.3969/j.issn.1006-6233.2020.06.033

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摘要目的:探讨欣母沛联合马来酸麦角新碱预防阴道分娩产后出血的有效性及产后恢复的影响。方法:选取2017年2月至2018年2月入住我院的阴道分娩患者166例,按随机数字表法分为两组,各83例,对照组予以欣母沛预防出血,研究组予以欣母沛联合马来酸麦角新碱预防出血,比较两组产后出血量、宫底高度、宫缩次数、血压变化情况。结果:对照组产后2h、产后1d的出血量都多于研究组,产后发生出血的概率高于研究组(P<0.05),两组用药前宫底高度、宫缩次数都无差异(P>0.05),对照组用药后0.5h、用药后1.0h,宫底高度高于研究组,宫缩次数少于研究组(P<0.05),两组用药前、用药后0.5h、用药后1.0h舒张压及收缩压都无差异(P>0.05)。结论:在预防阴道分娩产妇产后出血的过程中,使用欣母沛联合马来酸麦角新碱,效果显著,值得在临床上多加广泛推广与应用。

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	李小艳

关键词 ：欣母沛, 马来酸麦角新碱, 阴道分娩, 产后出血, 产后恢复

Abstract：Objective: To investigate the effectiveness of Xinmupei combined with ergometrine maleate in preventing postpartum hemorrhage in vaginal delivery and the effect of postpartum recovery. Methods:A total of 166 patients with vaginal delivery who were admitted to our hospital from February 2017 to February 2018 were enrolled. The patients were divided into two groups according to the random number table, 83 cases in each group. The control group was given Xinmupei to prevent bleeding. The study group was given Xinmupei and ergometrine maleate to prevent bleeding. The postpartum hemorrhage, the height of the fundus, the number of contractions, and the changes of blood pressure are compared. Results:The bleeding volume of the control group was higher than that of the study group 2 hours after delivery and 1 day after delivery. The probability of bleeding after delivery was higher than that of the study group (P<0.05). There was no difference in the height of the anterior fundus and the number of uterine contractions between the two groups (P>0.05). ). 0.5 h and 1.0 h after the administration, the height of the fundus of the control group was higher than that of the study group, and the number of uterine contractions was less than that of the study group (P<0.05). Before the administration, 0.5 h after the administration, and 1.0 h after the administration, there was no difference in pressure and systolic pressure (P>0.05). Conclusion: In the process of preventing postpartum hemorrhage in vaginal delivery, the use of Xinmupei combined with ergometrine maleate has significant effects and is worthy of widespread promotion and application in clinical practice.

Key words： Xinmupei Ergoxin maleate Vaginal delivery Postpartum hemorrhage Postpartum recovery

基金资助:湖北省自然科学基金,(编号:2016CKB106)

引用本文:

李小艳. 欣母沛联合马来酸麦角新碱预防阴道分娩产后出血的有效性及产后恢复的影响[J]. 河北医学, 2020, 26(6): 1029-1031.
LI Xiaoyan. An Analysis of the Efficacy of Hemabate Combined with Ergotine Maleate in Preventing Postpartum Hemorrhage During Vaginal Delivery and the Effect of Postpartum Recovery. HeBei Med, 2020, 26(6): 1029-1031.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2020.06.033 或 http://www.hbyxzzs.cn/CN/Y2020/V26/I6/1029

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