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目的:通过不同年龄段功血给予激素治疗,研究不同治疗方法的临床效果。方法:选择正常单胎足月妊娠阴道分娩者180例随机分2组:米索组(90例),于胎儿娩出后直肠置米索400μg(ml);催产素组(90例),于胎儿娩出后立即肌肉注射缩宫素20IU。结果:米索组与缩宫素组比较,2小时内出血量、产后出血发生率差异均有显著性(P<0.01、P<0.01、)。结论:直肠置米索前列醇促进子宫收缩作用强于肌注缩宫素,直肠给药能有效减少产后出血量,防治产后出血,且用药方便经济,值得在基层医院推广使用。
OBJECTIVE: To study the clinical effects of different treatment methods by using hormone therapy in different age groups. Methods: One hundred and eighty cases of normal single-term full-term pregnancy with vaginal delivery were randomly divided into two groups: misoprostol (90 cases), 400 micrograms (400 micrograms) of misoprostol in the rectum after delivery of the fetus, 90 cases of oxytocin Immediately after delivery, intramuscular oxytocin 20IU. Results: There were significant differences in the amount of bleeding within 2 hours and the incidence of postpartum hemorrhage between the misoprostol and oxytocin groups (P <0.01, P <0.01). Conclusion: The rectum misoprostol to promote uterine contraction stronger than intramuscular injection of oxytocin, rectal administration can effectively reduce the amount of postpartum hemorrhage, prevention and treatment of postpartum hemorrhage, and convenient and economical medication, it is worth to promote the use of primary hospitals.