论文部分内容阅读
目的:探讨缩宫素联合米索前列醇预防剖宫产产后出血的临床效果。方法:选取2014年1月至2015年1月间在我院住院进行剖宫产患者50例。随机分为治疗组和对照组,治疗组25例,对照组25例,治疗组给予缩宫素联合米索前列醇,对照组患者采用缩宫素,对比两组患者治疗效果。结果:治疗组中治疗效果为有效的病例有23例,无效病例为1例有效率高达92.0%;对照组中治疗效果为有效的病例仅有8例,无效病例为12例有效率仅有32.0%。说明缩宫素联合米索前列醇在预防治疗中能起到良好的效果,疗效差异具有显著性,P<0.01。对比治疗组与对照组产后24h出血量发现,前者优势明显,差异具有显著性,P<0.01。治疗组中并发症1例,即用药后恶心;对照组共6并发症,4例发生用药后恶心,2例用药后发冷、寒颤,对照组并发症例数家较多,但差异无显著性,P>0.05。结论:缩宫素联合米索前列醇在预防产后出血情况具有良好的效果,具有较高的有效率,是一种优秀的临床产后预防出血方案,值得临床推广。
Objective: To investigate the clinical effect of oxytocin combined with misoprostol in preventing bleeding after cesarean section. Methods: 50 cases of cesarean section hospitalized in our hospital from January 2014 to January 2015 were selected. Randomly divided into treatment group and control group, 25 cases in the treatment group and 25 cases in the control group. Oxytocin and misoprostol were given to the treatment group. Oxytocin was used in the control group to compare the curative effect of the two groups. Results: In the treatment group, there were 23 cases of effective treatment, 1 case of ineffective cases as high as 92.0%, 8 cases of effective treatment in the control group, 12 cases of ineffective cases were only 32.0 %. Oxytocin combined with misoprostol in the prevention and treatment can play a good effect, the difference was significant, P <0.01. Comparison of treatment group and control group 24h postpartum hemorrhage found that the former obvious advantages, the difference was significant, P <0.01. The complications in the treatment group were 1 case, that is, nausea after treatment. There were 6 complications in the control group, nausea in 4 cases and chills and chills in 2 cases, but there was no significant difference in the control group , P> 0.05. Conclusion: Oxytocin combined with misoprostol in the prevention of postpartum hemorrhage has a good effect, with high efficiency, is an excellent clinical postpartum hemorrhage prevention program is worth clinical promotion.