目的 探討麥角新堿聯(lián)合縮宮素對(duì)臨產(chǎn)后剖宮產(chǎn)術(shù)產(chǎn)后出血的治療效果。方法 回顧性地對(duì)臨產(chǎn)后剖宮產(chǎn)術(shù)產(chǎn)后出血的產(chǎn)婦進(jìn)行對(duì)照研究。將300例有產(chǎn)后出血傾向的產(chǎn)婦分為對(duì)照組和觀察組，對(duì)照組（100例）常規(guī)給催產(chǎn)素，觀察1組（100例）在催產(chǎn)素的基礎(chǔ)上加用卡前列素氨丁三醇注射液，觀察2組（100例）在催產(chǎn)素的基礎(chǔ)上加用麥角新堿。記錄胎兒娩出后0.5、1、2、24 h出血量、血壓、心率的變化及藥物不良反應(yīng)。結(jié)果 治療后，觀察1、2組產(chǎn)婦產(chǎn)后1、2、24 h出血量均少與對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）；觀察2組產(chǎn)婦產(chǎn)后1、2、24 h出血量明顯少于觀察1組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。對(duì)照組和觀察1、2組產(chǎn)后出血發(fā)生率分別為19%和6%、2%，觀察1、2組明顯低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；觀察2組明顯低于觀察1組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察2組不良反應(yīng)發(fā)生率明顯低于觀察1組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 麥角新堿聯(lián)合縮宮素對(duì)臨產(chǎn)后剖宮產(chǎn)術(shù)產(chǎn)后出血有顯著效果。

Objective To investigate the methysergide in labor cesarean section postpartum hemorrhage treatment effect.Methods A retrospective control study of parturient was after cesarean section maternal postpartum hemorrhage. 300 patients with postpartum hemorrhage were divided into observation group A and control group B.Group A100 were to oxytocin, oxytocin in B1 observation group based on the use of hemabate in 100 cases B2 in the observation group, oxytocin plus 100 cases. Record the fetus after 30 min, 1 h, 2 h, change and drug adverse reactions, blood pressure and heart rate of bleeding 24 h.Results There were significant differences in the amount of 1 h, 2 h and 24 h bleeding after delivery in the two groups of pregnant women (P< 0.05). There were significant differences in the amount of postpartum 1 h, 2 h and 24 h bleeding between the two groups of B1 and B2 (P< 0.05). There was a significant difference between the two groups. The incidence of postpartum hemorrhage in group A and group B was 19% vs 4%, and the incidence of postpartum hemorrhage in group B1 and B2 group was 6% vs 2%, respectively. There were significant differences in postpartum 2 h systolic blood pressure and diastolic blood pressure between group B1 and group B2 (P< 0.05). There was a statistically significant difference in gastrointestinal reaction between B1 group and B2 group (P< 0.05).Conclusion Ergonovine has significant effect on cesarean section postpartum hemorrhage after labor.