葡萄糖酸钙联合卡前列素氨丁三醇对双胎 剖宫产产后出血的影响

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Effect of Calcium Gluconate Combined with Carboprost Tromethamine on Postpartum Hemorrhage of TwinCesarean Section/LYUMengqin，HUANGLimin，WANHeping.//Medical InnovationofChina， 2025，22（20）：133-136

[Abstract]Objective：To explore the preventive effect of Calcium Gluconate combined with Carboprost Tromethamine on postpartum hemorrhageof twin cesarean section.Method： Aretrospective analysis was conducted on the clinical data of1OO parturients who underwent twin cesarean section delivery in the First People's Hospital of Fuzhou City from January 2O22 to August 2O24.They were divided into the control group and the observation group according to differenttreatment methods，with 5O cases ineach group.The control group received conventional preventive and treatment measures for postpartum hemorrhage，and the observation group was treated with Calcium Gluconate combined with Carboprost Tromethamine on the basis of conventional treatment.The blood loss 24 hours afterdelivery，bloodroutine and coagulation function indicatorslevels were comparedbetweenthetwo groups，and the postpartum hemorhageand surgical hemostasis were recorded.Result：The blood loss24 hours afterdelivery in the observation group was less than that in the control group，and the RBC，hematocrit and Hb 24 hours after  delivery were significantly higher than those in the control group，the PTand APTT were significantly shorter than those in the control group （ P<0.05 .There were no statistically significant diferences between the two groups in the rates of postpartum hemorrhage，hysterectomy and uterine artery embolization between the two groups （ P>0.05） Conclusion： Calcium Gluconate combined with Carboprost Tromethamine has a better application effect in twin cesarean section parturientsand is helpful to reduce the blood loss 24 hours after delivery.

[Keywords] Twin pregnancy Cesarean section Postpartum hemorrhage Calcium Gluconate Carboprost [romethamine

First-author's address：Department of Gynaecology and Obstetrics，the First People's Hospital of Izhou City，Fuzhou344000，China doi：10.3969/j.issn.1674-4985.2025.20.031

双胎妊娠因其独特的生理特点，往往伴随更高的妊娠和分娩风险，其中产后出血是双胎剖宫产常见且严重的并发症之一l。（剩余5562字）