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目的观察子宫放置米索前列醇预防前置胎盘剖宫产术后出血的临床效果。方法选择52例前置胎盘剖宫产者,随机分成2组,第1组26例,应用子宫下段放置米索前列醇+催产素宫体注射+子宫下段明显血窦肠线“8”字缝合;第2组26例,应用催产素宫体注射+子宫下段明显血窦肠线“8”字缝合;以上2组观察术后2h内出血量。结果应用子宫放置米索前列醇+催产素宫体注射,促进子宫收缩作用明显强于单纯应用宫体注射催产素,能较好的预防前置胎盘剖宫产术后出血,且用药方便,安全。
Objective To observe the clinical effect of uterine misoprostol on prevention of bleeding after cesarean section of placenta previa. Methods 52 cases of placenta previa were randomly divided into 2 groups, group 1, 26 cases, the application of misoprostol + oxytocin in the lower uterine segment of the uterus + lower uterine segment marked sinus gut “8” suture ; The second group of 26 cases, the application of oxytocin injection of uterine segment of the uterus was significantly sinusoidal gut “8” suture; more than 2 hours after operation to observe the amount of bleeding within 2h. Results Application of uterine misoprostol + oxytocin injection to promote uterine contractility was significantly stronger than the simple application of oxytocin in the uterine cavity, can better prevent placenta previa bleeding after cesarean section, and the medication convenient and safe .