论文部分内容阅读
目的观察米索前列醇对预防剖宫产后出血的疗效,探讨预防剖宫产后出血的理想治疗手段。方法 2012年5月至2013年4月,兰考县妇儿医院足月生产孕妇1654例,其中剖宫产342例,选取342例剖宫产中有产后出血因素的160例作为本次研究对象,随机将其分成两个组各80例:研究组:在剖宫产者分娩后即给予舌下含服米索前列醇200μg,术后由直肠置入米索前列醇400μg;对照组:剖宫产者分娩后进行宫体注射缩宫素20 U,再加5%葡萄糖与缩宫素10 U实施静脉滴注。术后2 h内观察剖宫产者的出血率及出血量。结果研究组较对照组出血率低,出血量少,差异有统计学意义(P<0.05)。结论使用米索前列醇对预防剖宫产产后出血具有积极意义,在妇产科临床方面值得推广。
Objective To observe the curative effect of misoprostol on the prevention of bleeding after cesarean section and to explore the ideal treatment for preventing bleeding after cesarean section. Methods From May 2012 to April 2013, Lanzhou County Women and Children Hospital produced 1654 pregnant women with full-term pregnant women, including 342 cases of cesarean section, and selected 342 cases of postpartum hemorrhage in cesarean section as the study object. The patients were randomly divided into two groups of 80 cases: Study group: given after cesarean delivery sublingual misoprostol 200μg, postoperative misoprostol 400μg; the control group: the cesarean section Intrauterine injection of oxytocin 20 U after birth, coupled with 5% glucose and oxytocin 10 U intravenous infusion. 2 h after surgery to observe the rate of bleeding and cesarean section bleeding. Results Compared with the control group, the bleeding rate of the study group was low and the amount of bleeding was small. The difference was statistically significant (P <0.05). Conclusion The use of misoprostol to prevent bleeding after cesarean section has a positive effect, which is worthy of popularization in obstetrics and gynecology.