| 郭小亮 李崎 冯超群 尹小勇 李学伦.垂体后叶素联合催产素对腹腔镜下子宫肌瘤剔除术患者循环系统的影响及止血效果[J].,2014,14(22):4319-4322 |
| 垂体后叶素联合催产素对腹腔镜下子宫肌瘤剔除术患者循环系统的影响及止血效果 |
| The Effect of Posterior Pituitary Hormone Combined Oxytocin on CirculatorySystemand Hemostasis of Patients Undergoing Laparoscopic Myomectomy |
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| DOI： |
| 中文关键词: 垂体后叶素 催产素 子宫肌瘤 |
| 英文关键词: Posterior pituitary hormone Oxytocin Uterine fibroids |
| 基金项目: |
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| 中文摘要: |
| 目的：研究垂体后叶素联合催产素对腹腔镜下子宫肌瘤剔除术患者循环系统的影响及止血效果。方法：收集本院2011 年10
月至2013 年10 月进行腹腔镜下子宫肌瘤剔除术的75 例子宫肌瘤患者，采用简单随机分组的方法将研究样本序贯分为A 组（垂
体后叶素组）、B 组（催产素组）、C 组（垂体后叶素联合催产素组）三组，各25 例。比较各组循环系统和止血效果指标是否有变化及
差异。结果：三组之间收缩压、舒张压、心率差异有统计学意义(P<0.05)，不同时间的收缩压、舒张压、心率差异有统计学意义
(P<0.05)，收缩压、舒张压、心率分组与时间之间有交互作用(P<0.05)。A组较B组低血压、心动过速及出血量更少，B组较A组高
血压、心动过缓更少，差异均有统计学意义(P<0.05)；C 组较A 组高血压、心动过缓更少，差异有统计学意义(P<0.05)；C 组较B 组
低血压、心动过速及出血量更少，差异有统计学意义(P<0.05)。结论：腹腔镜下子宫肌瘤剔除术患者联合应用垂体后叶素与催产素
后循环波动小，止血效果好，值得在临床上推广应用。 |
| 英文摘要: |
| Objective:To study the effect of posterior pituitary hormone combined oxytocin on laparoscopic myomectomy
patients' circulatory system and hemostasis.Methods:75 uterine fibroids patients undergonging laparoscopic myomectomy surgery from
October 2011 to October 2013 were selected in our hospital, a simple random sample method was used to randomly divide cases
sequentially into group A (posterior pituitary Su group), group B (oxytocin group), group c (vasopressin combined oxytocin group), with
25 cases in each group. Changes and differences in effect indicators were compared to evaluate the circulatory system and hemostatic.Results:The systolic blood pressure, diastolic blood pressure and heart rate within the three groups have statistically significant difference
(P<0.05), systolic blood pressure, diastolic blood pressure and heart rate at different times are statistically significant different (P<0.05),
there is a statistically significant interaction among systolic blood pressure, diastolic blood pressure and heart rate had (P<0.05).
Hypertension, hypotension, tachycardia, bradycardia and bleeding volume between group A and group B are statistically significant
different(P<0.05); Hypertension, bradycardia are statistically significant difference(P<0.05)between group A and group C; Hypotension,
tachycardia and bleeding between group B and group C are statistically significant different (P<0.05).Conclusion:The combination of
posterior pituitary hormone and oxytocin on patients of laparoscopic myomectomy can lead to small blood pressure fluctuations and
good hemostatic effect and is worthy of clinical application. |
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