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目的:探讨卡前列甲酯栓联合宫缩素在瘢痕子宫剖宫产产后出血防治中的应用效果。方法:选取本院2014年6月-2015年7月行剖宫产手术的瘢痕子宫产妇84例,按入院先后顺序分为对照组与观察组。给予对照组产妇米索前列醇联合宫缩素治疗,给予观察组卡前列甲酯栓联合宫缩素治疗。结果:观察组产妇术中、产后2 h、产后24 h出血量均少于对照组,组间比较,差异具有统计学意义(P<0.05);产前两组产妇血红蛋白水平比较,差异无统计学意义(P>0.05),产后观察组产妇血红蛋白水平为(70.15±10.54)g/L,高于对照组的(58.14±8.35)g/L,差异具有统计学意义(P<0.05);观察组不良反应发生率为11.90%,低于对照组的33.33%,差异具有统计学意义(P<0.05)。结论:卡前列甲酯栓联合宫缩素在瘢痕子宫剖宫产产后出血中的应用效果显著。
Objective: To investigate the effect of combination of carbamazepine suppository and oxytocin on the prevention and treatment of postpartum hemorrhage in cesarean section of scar. Methods: 84 cases of scarring uterus from cesarean section in our hospital from June 2014 to July 2015 were selected and divided into control group and observation group according to the sequence of admission. The control group was given maternal misoprostol combined with orbital, and the observation group was treated with cardioprotection combined with orbital. Results: The bleeding volume in the observation group was significantly lower than that in the control group at 2 h postpartum and at 24 h postpartum. The differences between the two groups were statistically significant (P <0.05). There was no significant difference in hemoglobin levels between the two groups The level of hemoglobin in the postpartum observation group was (70.15 ± 10.54) g / L, which was higher than that in the control group (58.14 ± 8.35) g / L, the difference was statistically significant (P <0.05) The incidence of adverse reactions was 11.90%, which was lower than 33.33% of the control group, the difference was statistically significant (P <0.05). Conclusion: The application of card top methyl ester suppository combined with uterus in cicatricial uterine bleeding after cesarean section has a significant effect.