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目的观察卡孕栓联合缩宫素预防产后出血的临床效果。方法将自然分娩的产妇128例按照入院时间随机分为2组,每组64例。对照组在胎儿前肩娩出后立即给予缩宫素20U注射,研究组在对照组基础上于胎儿娩出后给予卡孕栓1粒直肠内置入。比较2组孕妇用药前后血压、第三产程时间、产后2h出血量和产后出血发生率。结果 2组产妇用药前后血压组间比较差异无统计学意义(P>0.05);研究组产妇第三产程时间和产后2h出血量短于/低于对照组,产后出血发生率低于对照组,差异均有统计学意义(P<0.05)。结论卡孕栓联合缩宫素可使第三产程缩短,增加子宫的收缩,对产后出血起到较好的预防作用,值得临床推广应用。
Objective To observe the clinical effect of carbamazepine combined with oxytocin in preventing postpartum hemorrhage. Methods 128 cases of spontaneous labor were randomly divided into two groups according to the time of admission, with 64 cases in each group. In the control group, 20U injection of oxytocin was given immediately after the delivery of the anterior shoulder of the fetus. The study group was given 1 intramuscular injection of carbamazepine on the basis of the control group after delivery of the fetus. Two groups of pregnant women before and after treatment of blood pressure, the third stage of labor time, 2h postpartum hemorrhage and postpartum hemorrhage incidence. Results There was no significant difference in blood pressure before and after treatment between the two groups (P> 0.05). The time of the third stage of labor and the amount of bleeding at 2h after birth in the study group were both shorter and lower than those in the control group. The incidence of postpartum hemorrhage was lower in the study group than in the control group, The differences were statistically significant (P <0.05). Conclusion Cardamine suppository combined with oxytocin can shorten the third stage of labor, increase uterine contraction, postpartum hemorrhage play a better preventive effect, it is worthy of clinical application.