马来酸麦角新碱在经腹腔镜子宫肌瘤剥除术中的临床应用研究
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摘要
目的探讨马来酸麦角新碱在子宫肌瘤剔除术中的应用价值。方法将2018年8月—2018年11月新疆医科大学附属肿瘤医院接诊的55例患者纳入研究,按照随机数字表法均分为观察组30例和对照组25例。对照组经腹腔镜子宫肌瘤剥除术+缩宫素联合治疗。观察组经腹腔镜子宫肌瘤剥除术+马来酸麦角新碱联合治疗。观察2组术中出血量、手术时间、住院时间、手术前后的血红蛋白下降情况、并发症。结果观察组术中出血量、手术时间、住院时间、手术前后的血红蛋白下降情况均显著低于对照组(P<0.05),观察组并发症发生率显著低于对照组(P<0.05)。结论马来酸麦角新碱在子宫肌瘤剔除术中应用效果较好,可以改善患者术中出血量、降低手术前后的血红蛋白下降情况、缩短手术时间、住院时间,降低并发症发生率。
Objective To explore the application value of ergonovine maleate in myomectomy in.Methods 55 patients Received from July 2018 to November 2018 in our hospital were included in this study. According to the random number table Method, 30 cases in the observation group and 25 cases in the control group. The control group: Laparoscopic myomectomy + Oxytocin combined therapy. The observation group: Laparoscopic myomectomy + ergonovine maleate combined therapy. The amount of bleeding, the time of Operation, the time of hospitalization, Hemoglobin decline before and after surgery and the complications were observed.Results the intraoperative blood loss, hemoglobin decline before and after surgery, operative time and Hospitalization time in the observation group were lower than those in the control group(P < 0.05), and the incidence of complications In the observation group was lower than that in the control group(P < 0.05).Conclusion Good application effect in Laparoscopic myomectomy Ergonovine,can improve patients with bleeding volume, operation time, hospitalization time, hemoglobin decline before and after surgery,reduce the incidence of complications.
Objective To explore the application value of ergonovine maleate in myomectomy in.Methods 55 patients Received from July 2018 to November 2018 in our hospital were included in this study. According to the random number table Method, 30 cases in the observation group and 25 cases in the control group. The control group: Laparoscopic myomectomy + Oxytocin combined therapy. The observation group: Laparoscopic myomectomy + ergonovine maleate combined therapy. The amount of bleeding, the time of Operation, the time of hospitalization, Hemoglobin decline before and after surgery and the complications were observed.Results the intraoperative blood loss, hemoglobin decline before and after surgery, operative time and Hospitalization time in the observation group were lower than those in the control group(P < 0.05), and the incidence of complications In the observation group was lower than that in the control group(P < 0.05).Conclusion Good application effect in Laparoscopic myomectomy Ergonovine,can improve patients with bleeding volume, operation time, hospitalization time, hemoglobin decline before and after surgery,reduce the incidence of complications.
引文
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[8]李哲媛,任杰红.国家基本药物麦角新碱注射液停产的原因及思考[J].中国药业, 2013, 22(24):8-9.
[2]李晶,张春莲.子宫肌瘤妇女微创剔除效果研究[J].中国妇幼健康研究, 2017, 28(6):704-705,712.
[3]李健.在腹腔镜下子进行宫肌瘤剥除木的临床现察[J].求医问药(学术版), 2013, 12(5):72-73.
[4]苏学锋.腹腔镜子宫肌瘤剔除术和开腹剔除术临床比较[J].中国妇幼保健, 2011, 26(21):3325-3326.
[5]金萍,石少权.麦角新碱联合缩宫素治疗临产后剖宫产产后出血的临床观察[J].药物评价研究, 2018, 41(2):302-304.
[6] Ramzy J, New G, Cheong A, et al. Iatrogenic canterior myocardial infarction secondary to ergometrine-induced coronary artery spasm during dilation and curettage for anincomplete miscarriage[J]. Int J Cardiol, 2015, 198:154-156.
[7] Ezeama C O, Eleje G U, Ezeama N N, et al. A comparison of prophylactic intramuscular ergometine and oxytocin for women in the third stage of labor[J]. Int J Gynaecol Obstet, 2014, 124(1):67-71.
[8]李哲媛,任杰红.国家基本药物麦角新碱注射液停产的原因及思考[J].中国药业, 2013, 22(24):8-9.