摘要
Abstract
Objective To investigate the effects of calcium, misoprostol and oxytocin on cesarean section postpartum hemorrhage in high-risk pregnant women. Methods A total of 90 high-risk pregnant women admitted to department of obstetrics and gynecology of General Hospital of Benxi Iron and Steel (Group) from January 2016 to January 2018 were selected as the research objects. They were divided into control group and experimental group according to different medication treatment schemes with 45 cases in each group. After cesarean section, the control group was intervened with oxytocin, while the experimental group was intervened with calcium, misoprostol and oxytocin. The effects of intervention, changes of vital signs, decrease of hemoglobin and red blood cell 24 hours after delivery and adverse reactions were compared between the two groups. Results The third stage of labor in the experimental group was shorter than that in the control group, and the decrease of HB and RBC in 24 hours after delivery was lower than that in the control group. The amount of bleeding in each period in experimental group was less than that in the control group, and the incidence of postpartum hemorrhage was lower than that in the control group with statistical significance (P<0.05). After delivery, there were no significant differences in systolic blood pressure, diastolic blood pressure, respiratory rate, heart rate, oxygen saturation and adverse reactions between the two groups (P>0.05). Conclusion High-risk pregnant women using calcium, misoprostol combined with oxytocin to prevent postpartum hemorrhage in cesarean section is safe, effective, and has few adverse reactions.关键词
产后出血/米索前列醇/钙剂/高危孕妇/缩宫素Key words
Postpartum hemorrhage/Msoprostol/Calcium/High-risk pregnant women/Oxytocin分类
医药卫生
