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目的探讨卡孕栓预防剖宫产产后出血的疗效。方法随机抽取2010年6月-2012年9月我院产科120例剖宫产产妇,随机分为卡孕栓+缩宫素组及缩宫素组各60例。观察组胎儿娩出后给予缩宫素10u宫壁注射,同时行卡孕栓1.0mg舌下含化;对照组给予缩宫素10u宫壁注射,缩宫素20u静脉点滴。观察两组术中、术后子宫收缩程度的差异和术中、术后出血量的差异,是否需要制止产后出血的其他手术干预。结果剖宫产产后子宫收缩程度和出血量两组有统计学差异(P<0.05),在是否需要手术干预止血方面也有明显差异(P<0.05)。结论卡孕栓联合缩宫素能有效地促进子宫收缩,减少产后出血,并能降低术中手术干预止血的干预率。
Objective To investigate the efficacy of carbamazepine in preventing postpartum hemorrhage after cesarean section. Methods A total of 120 cases of cesarean section in our hospital from June 2010 to September 2012 were randomly divided into the control group (60 cases) and the oxytocin group (60 cases). The observation group was given after delivery of oxytocin 10u uterine wall injection, at the same time line card carapace 1.0mg sublingual; control group given oxytocin 10u uterine wall injection, oxytocin 20u intravenous drip. To observe the difference of intraoperative and postoperative uterine contractions and the difference of intraoperative and postoperative bleeding volume, and whether other surgical interventions to stop postpartum hemorrhage were needed. Results There was a significant difference in the degree of uterine contractions and the amount of bleeding after cesarean section (P <0.05). There was also a significant difference (P <0.05) in the need of surgical intervention for hemostasis. Conclusions Kapusi combined with oxytocin can effectively promote uterine contraction, reduce postpartum hemorrhage, and can reduce the intervention rate of intraoperative surgical intervention to stop bleeding.