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目的:探讨米索前列醇用于预防和治疗产后出血的临床疗效。方法:对100例足月妊娠,有产后出血倾向的初、经产妇,第三产程阴道后穹窿置放米索前列醇200μg,剖宫产术中胎盘娩出后擦拭宫腔后将米索前列醇片200μg置放宫腔底部,直至阴道无活动性出血、子宫收缩正常(米索组)。以100例同样条件的产妇,用催产素10IU静脉注射(催产素组)为对照。结果:米索前列醇置放阴道后穹窿和宫腔底部用于产后出血的治疗效显著。结论:该药方便、安全、价廉,宜于临床推广。
Objective: To investigate the clinical efficacy of misoprostol in the prevention and treatment of postpartum hemorrhage. Methods: 100 cases of full-term pregnancy, the tendency of postpartum hemorrhage early, the maternal, the third stage of vaginal fornix placed vaginal fornix 200μg, cesarean section after the placenta was delivered after wiping the uterine cavity misoprostol 200μg placed on the bottom of the uterine cavity, vaginal bleeding until no activity, normal uterine contractions (misoprostol). 100 cases of women with the same conditions, with oxytocin 10IU intravenous (oxytocin group) as a control. Results: Misoprostol placed vaginal fornix and the bottom of the uterine cavity for the treatment of postpartum hemorrhage significant effect. Conclusion: The drug is convenient, safe, inexpensive, suitable for clinical promotion.