临床医学研究与实践2023年3月第8卷第9期ClinicalvalueofergometrinemaleatecombinedwithoxytocininthetreatmentandpreventionofhemorrhageaftercesareansectionFENGJuanning1,YANGSha1*,JIANGXiaoying2(1.QishanCountyHospital,Baoji722400;2.BaojiMaternalandChildHealthHospital,Baoji721000,China)ABSTRACT:ObjectiveToexploretheclinicalvalueofergometrinemaleatecombinedwithoxytocininthetreatmentandpreventionofhemorrhageaftercesareansection.MethodsAtotalof74cesareansectionwomenadmittedinourhospitalfromJanuary2017toDecember2020wereselectedastheresearchobjectsandrandomlydividedintocontrolgroupandobservationgroup,with37casesineachgroup.Thecontrolgroupreceivedoxytocintreatment,andtheobservationgroupreceivedergometrinemaleatecombinedwithoxytocintreatment.Thetotalbloodlossat2,4and24hpostpartuminthetwogroupswascompared;thesystolicbloodpressure(SBP)anddiastolicbloodpressure(DBP)beforetreatmentandafter2hoftreatmentandTreatmentEmergentSymptomScale(TESS)scoreafter3doftreatmentofthetwogroupswerecompared;theincidencesofpostpartumhemorrhageandpostpartumanemiaafter24hoftreatmentinthetwogroupswerecompared;theprothrombintime(PT),activatedpartialthromboplastintime(APTT)andfibrinogen(Fbg)levelwerecomparedbetweenthetwogroupsbeforetreatmentandafter2hoftreatment.ResultsThetotalbloodlossat2,4and24hpostpartumintheobservationgroupwerelowerthanthoseinthecontrolgroup,andthedifferenceswerestatisticallysignificant(P<0.05).Beforetreatment,therewerenosignificantdifferencesinSBPandDBPbetweenthetwogroups(P>0.05);after2hoftreatment,theSBPandDBPintheobservationgroupwerehigherthanthoseinthecontrolgroup,andthedifferenceswerestatisticallysignificant(P<0.05);after3doftreatment,thescoreofTESSintheobservationgroupwaslowerthanthatinthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05).Theincidencesofpostpartumhemorrhageandpostpartumanemiaafter24hoftreatmentintheobservationgroupwerelowerthanthoseinthecontrolgroup,andthedifferenceswerestatisticallysignificant(P<0.05).Beforetreatment,therewerenosignificantdifference...
