摘要
Abstract
Objective To investigate the effect of different cesarean section methods and oxytocin dosage on puerperants.Methods A total of 110 cases of puerperants undertaken cesarean section from July 2011 to July 2012 in this hospital were randomly divided into Group A and Group B,with 5 5 cases for each group.Puerperants in Group A were treated with intramuscular injection of oxytocin 10 IU and intravenous drip of oxytocin 10 IU after delivery.Pu-erperants in Group B were treated with intramuscular injection of oxytocin 20 IU and intravenous drip of oxytocin 20 IU after delivery.The amount of bleeding,operation time,amount of transfusion,blood pressure,heart rate and ad-verse drug reactions were compared between the two groups.At the same time,puerperants in Group A and Group B were randomly divided into natural placenta peeling group and artificial placenta stripping group,with 30 cases for each group,and amount of bleeding was compared.Results Five minutes after administration,systolic blood pressure (SBP)and diastolic blood pressure (DBP)in puerperants of the two groups were decreased,and heart rate was in-creased.And the decreasing of SBP and DBP in Group B were more significant than Group A (P<0.05),but the difference of heart rate was not significant (P>0.05).Ten minutes after administration,SBP,DBP and heart rate in the two groups were increased,and the increasing of SBP,DBP and heart rate in Group B were more significant than Group A (P<0.05).The amount of bleeding in artificial placenta stripping group was (147±44)mL,more than nat-ural placenta peeling group [(126±35)mL],with significant difference between the two groups (P<0.05).Conclu-sion Natural placenta peeling in cesarean section could effectively reduce the amount of blood loss during operation, and the lowest effective dosage of oxytocin might be more suitable.关键词
剖宫产术/胎盘剥离方式/缩宫素/药物剂量Key words
cesarean section/placental separation/oxytocin/administration dosage
