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目的:探讨卡孕栓预防产后出血的效果。方法:将正常足月妊娠阴道分娩者320例随机分为两组。实验组180例,于胎儿娩出后立即向直肠置入卡孕栓1枚(1毫克)。对照 组140例,在胎儿前肩娩出后经臀部肌肉注射催产素10个单位。观察产后2h内的出血量。结果:实验组第三产程平均时间为7.7min较对照缩短4.8min,产后24h内平均出血量为146.4ml较对照组减少121.5ml(p<0.01)。结论:卡孕栓具有比催产素更强的子宫收缩作用,更能减少产后出血量,缩短第三产程。
Objective: To investigate the effect of carbamazepine in preventing postpartum hemorrhage. Methods: 320 cases of normal full-term pregnancy vaginal delivery were randomly divided into two groups. Experimental group of 180 cases, immediately after the delivery of the fetus into the rectum carbamazepine 1 (1 mg). Control group, 140 cases, 10 units of oxytocin were injected intramuscularly in the buttocks after the anterior shoulder was delivered. Observe the amount of bleeding within 2h postpartum. Results: The mean duration of the third stage of labor in experimental group was 7.7min shortened 4.8min compared with control, and the average amount of bleeding in 24h after birth was 146.4ml (121.5ml) (p <0.01). Conclusion: Carprost suppository has stronger uterine contractility than oxytocin, which can reduce the amount of postpartum hemorrhage and shorten the third stage of labor.