河北医学2016，Vol.22Issue(7)：1075-1078,4.DOI:10.3969/j.issn.1006-6233.2016.07.08
卡贝缩宫素及卡前列素氨丁三醇联合产后出血预测评分表预防产后出血的临床研究
Carbetocin & Romethamine Combined with Postpartum Hemorrhage Prediction Rating Scale in Preventing Postpartum Hemorrhage
摘要
Abstract
Objective: To investigate the clinical efficacy of carbetocin & romethamine combined with postpartum hemorrhage prediction rating scale in prevention from postpartum hemorrhage, and to reduce the incidence of postpartum hemorrhage. Methods: Puerperas were evaluated by modified " postpartum hemor-rhage prediction rating scale" . Puerperas with scores >7ˊ were in high-risk group, those with scores of 5ˊ-7ˊwere in middle-risk group, and those with scores of 0ˊ-4ˊ were low-risk group; 40 puerperas were enrolled into each group. After fetal disengagement, all the puerperas used oxytocin injection, while the middle-risk group used carbetocin injection additionally, and the high - risk group used carbetocin injection and romethamine injection additionally. Results: The 3 groups had similar volumes and incidences of uterine hem-orrhage at 2h and 24h after delivery, respectively, and the differences were statistically insignificant (P >0. 05). The hemoglobin decreasing amplitudes at 24h after delivery in the puerperas of the low-risk group, mid-dle-risk group, and high-risk group were (4.03±0.78)g / L, (4.28±0.80)g / L, and (4.74±0.84)g / L, re-spectively, and the differences were statistically insignificant (P >0.05). The puerperas of the 3 groups had similar systolic pressures and diastolic pressures before delivery, at 2h and 24h after delivery, respectively, and the differences were statistically insignificant (P>0.05); the puerperas of the 3 groups had insignificantly lower systolic pressures and diastolic pressures at 2h and 24h after delivery than those before delivery (P>0. 05). The puerperas of the 3 groups had hard uteruses within 2h after delivery. Conclusion: According to the results of postpartum hemorrhage prediction rating scale, carbetocin and romethamine can effectively prevent from postpartum hemorrhage in high-risk puerperas.关键词
卡贝缩宫素/卡前列素氨丁三醇/产后出血预测评分表/产后出血Key words
Carbetocin/Romethamine/Postpartum hemorrhage prediction rating scale/Post-partum hemorrhage引用本文复制引用
郑同英,钟思燕..卡贝缩宫素及卡前列素氨丁三醇联合产后出血预测评分表预防产后出血的临床研究[J].河北医学,2016,22(7):1075-1078,4.基金项目
四川省什邡市科技计划支撑项目,(编号:2013B00231) （编号:2013B00231）
