葡萄糖酸钙联合缩宫素治疗产后出血的临床效果
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陈寿珍,女,主治医师,主要研究方向是产科危急重症的抢救及高危妊娠的处理。

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R 714.46+ 1

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Clinical Efficacy of Calcium Gluconate Combined with Oxytocin in the Treatment of Postpartum Hemorrhage
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    摘要:

    摘 要目的:探讨葡萄糖酸钙联合缩宫素治疗产后出血的临床效果。 方法:回顾性选取 2020 年 2 月至 2023 年 2 月 福建省妇幼保健院收治的 120 例产后出血产妇,依据治疗方法不同分为对照组和观察组,各 60 例。对照组单用缩宫素治疗, 观察组采用缩宫素联合葡萄糖酸钙治疗。比较两组患者产后出血量、临床指标、临床疗效。 结果:产后 1 h、2 h、4 h、24 h, 观察组产妇出血量少于对照组,差异具有统计学意义(P < 0.05)。观察组产妇止血、胎盘娩出、住院、恶露持续时间短于 对照组,宫缩持续时间长于对照组,差异具有统计学意义(P < 0.05)。观察组产妇治疗总有效率高于对照组,差异具有 统计学意义(P < 0.05)。 结论:与单用缩宫素相比,缩宫素与葡萄糖酸钙联合治疗产后出血的临床效果更好。

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    AbstractObjective To explore the clinical effect of calcium gluconate combined with oxytocin in the treatment of postpartum hemorrhage. Methods A retrospective selection was conducted on 120 postpartum hemorrhage postpartum women admitted to Fujian Maternal and Child Health Hospital from February 2020 to February 2023. According to different treatment methods, they were divided into a control group and an observation group, with 60 cases in each group. The control group was treated with oxytocin alone, while the observation group was treated with oxytocin combined with calcium gluconate. Compare the postpartum hemorrhage volume, clinical indicators, and clinical efficacy between the two groups of patients. Results At 1 hour, 2 hours, 4 hours, and 24 hours postpartum, the observation group had less hemorrhage volume than those in the control group, and the differences were statistically significant (P < 0.05). The observation group had shorter duration of hemostasis, placental delivery, hospitalization, and lochia compared to the control group, and longer duration of uterine contractions compared to the control group, with statistically significant differences (P < 0.05). The total offective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Compared with using oxytocin alone, the combination of oxytocin and calcium gluconate has a better clinical effect in the treatment of postpartum hemorrhage.

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  • 收稿日期:2023-08-20
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  • 在线发布日期: 2024-02-23
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