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我院产科1996年6月～12月,应用米索前列醇加强第三产程宫缩,防治产后出血63例,取得很好效果,总结如下。 1 对象与方法 1.1 对象 1996年6月～12月,任选126例足月妊娠、头位阴道分娩产妇,排除合并血液系统疾病者,年龄20岁～35岁,按入院顺序,随机分为实验组和对照组,各63例。 1.2 观察方法 实验组:当胎头拨露后,估计胎儿在0.5 h内娩出时,即嘱孕妇吞服米索前列醇200/lg(英国西尔公司生产,商品名为喜克溃,每片含0.2mg),胎儿娩出后再吞服200Pg米索前列醇,同时将一弯盘放于产妇臀下,收集产后2h的出血量。若有会阴切口出血,则用规定标准纱布估计切口出血量,将阴道出血与会阴切口出血分别计算。对照组:阴道分娩,不用米索前列醇,但包括产程中出现宫缩乏力静脉滴注催产素者。失血计量方法同实验
Obstetrics and Gynecology in our hospital from June 1996 to December, the application of misoprostol to strengthen the contractions of the third stage of labor, prevention and treatment of 63 cases of postpartum hemorrhage, achieved good results, summarized as follows. 1 Subjects and Methods 1.1 Object June 1996 ~ December, optional 126 cases of full-term pregnancy, head vaginal delivery mothers, excluding blood diseases, aged 20 to 35 years old, according to admission sequence, were randomly divided into experimental Group and control group, each 63 cases. 1.2 Observation Methods Experimental group: when the fetal head exposed, it is estimated that the fetus within 0.5 h when delivered, which means pregnant women swallowed misoprostol 200 / lg (British company Silicone, trade name Xi Ke collapse, each piece Containing 0.2mg), the fetus was swallowed 200Pg misoprostol after delivery, while a curved plate placed in the maternal hip, collect the amount of bleeding after 2h. If there is a perineal incision hemorrhage, then use the standard gauze to estimate the amount of incision bleeding, vaginal bleeding and perineal incision bleeding were calculated. Control group: vaginal delivery, without misoprostol, but including the production process in patients with uterine inertia intravenous infusion. Blood loss measurement method with the experiment