麦角新碱与卡前列素氨丁三醇分别联合宫颈提拉式缝合治疗前置胎盘剖宫产术中出血的对比研究

目的分析麦角新碱与卡前列素氨丁三醇分别联合宫颈提拉式缝合治疗前置胎盘剖宫产术中出血的疗效。方法选取我院2014年1月-2018年9月收治的前置胎盘剖宫产产妇50例,根据止血方法不同分为卡前列素氨丁三醇组(卡前列素氨丁三醇联合宫颈提拉式缝合)和麦角新碱组(麦角新碱联合宫颈提拉式缝合),分析两组产妇治疗后的临床疗效。结果两组产妇剖宫产中、产后2 h和24 h出血量、术后24 h尿量、恶露持续时间、住院时间、月经恢复时间及月经周期比较,差异不具有统计学意义(P>0.05)。产前两组血红蛋白、红细胞计数、Ca²⁺浓度水平组间比较,差异不具有统计学意义(P>0.05);产后两组血红蛋白、红细胞计数较产前下降,Ca²⁺浓度较产前均上升(P<0.05),但两组间差异不具有统计学意义(P>0.05)。结论麦角新碱联合宫颈提拉式缝合与卡前列素氨丁三醇联合宫颈提拉式缝合在前置胎盘剖宫产术中出血治疗效果一致,且麦角新碱价格低廉,产妇经济负担轻,利于在基层医院推广。

Comparative Study of Ergoxin and Carprostatin Aminobutanol Combined with Cervical Pulling Suture in the Treatment of Intraoperative Hemorrhage of Placenta Previa Caesarean Section

Objective To analyze the curative effect of ergoxin and carprostatin-aminobutanol combined with cervical pulling suture in the treatment of intraoperative hemorrhage of placenta previa caesarean section. Methods From January 2014 to September 2018, 50 cases of cesarean section of placenta previa were treated in our hospital. According to the hemostatic methods, the two groups were divided into carprostin-aminobutanol group (carprostin-aminobutanol combined with cervical pulling suture) and ergoxin group (ergogenin combined with cervix pull-type suture). The clinical efficacy of the two groups after treatment was analyzed. Results In cesarean section, there was no significant difference in blood loss, urine volume, duration of lochia, hospitalization time, menstrual recovery time and menstrual cycle between the two groups ( P >0.05). There was no significant difference in erythrocyte count and Ca 2+ concentration between the two groups ( P >0.05). The red blood cell count decreased and the Ca 2+ concentration increased in the 2 groups ( P <0.05), and the postpartum hemoglobin in the 2 groups was higher than that in the pre partum group ( P <0.05). Red blood cell count, Ca 2+ concentration level of comparison between groups, the difference is not uniform. The significance of calculation was significant ( P >0.05). Conclusion The therapeutic effect of ergoxin combined with cervical pulling suture and carprost aminobutanol combined with cervical pulling suture in caesarean section of placenta previa is the same, and the price of ergoxin is low and the economic burden of parturient is light. It is propitious to popularize in the basic level hospital.