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缩宫素引产持续时间与宫缩乏力性产后出血的相关性
作者:赵丽琴 郭遂群 林丹 
单位:南方医科大学第三附属医院
关键词:缩宫素 引产 宫缩乏力 产后出血 
分类号:
出版年·卷·期(页码):2013·41·第五期(332-335)
摘要:

目的: 小剂量缩宫素引产用药持续时间与宫缩乏力性产后出血相关性进行分析。方法: 对符合引产指针的晚期妊娠孕妇予小剂量缩宫素引产,进行临床资料的回顾性分析、比较用药24小时内分娩、48小时内分娩、72小时内分娩宫缩乏力性产后出血发生率。结果: 予小剂量缩宫素引产在24小时内分娩的产妇与正常分娩产妇宫缩乏力性产后出血发生率无显著差异(P>0.05),用药48小时内分娩、72小时内分娩宫缩乏力性产后出血发生率明显增加,且随着时间的延长宫缩乏力性产后出血发生率呈现递增趋势(P<0.05)。结论::缩宫素引产用药持续时间越久,宫缩乏力性产后出血发生机率越大。对于开始静滴缩宫素引产24小时仍未分娩的产妇,提早做好产后出血的抢救工作很有必要。

Objective: An analysis of the relativity between the duration of labor induction by oxytocin and postpartum hemorrhage caused by uterine atony .Method: A retrospective analysis of the clinical data of the induction of labor by small-dose oxytocin injection on puerpera in late pregnancy who complies with the indicators of labor induction, and a compare of the occurrence rates of postpartum hemorrhage caused by uterine atony within 24 hours, 48 hours, and 72 hours of oxytocin injection. Result: There is no notable difference between the occurrence rates of postpartum hemorrhage in a puerpera who has received oxytocin injection within 24 hours to induce labor and one who undergoes normal delivery process(P>0.05). The occurrence rate of postpartum hemorrhage caused by uterine atony is significantly higher in a puerpera who delivers after 24—48 hours or 48—72 hours of oxytocin injection. Moreover, the occurrence rate of postpartum hemorrhage caused by uterine atony presents an increasing trend with the extension of the duration (P<0.05). Conclusion: The longer the duration of labor induction by oxytocin, the greater the chance of occurrence of postpartum hemorrhage caused by uterine atony is. For a puerpera who is not in parturition after 24 hours of oxytocin injection, it is necessary to prepare for emergency treatment of postpartum hemorrhage in advance.

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