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目的 :观察米索前列醇在预防和减少剖宫产术后出血中的疗效。方法 :选择 90例剖宫产产妇 ,根据关腹后止血药及宫缩剂的使用情况 ,分为米索前列醇组、催产素组及对照组 ,每组各 30例。测量胎儿取出 1 5min后各组产妇的 2 4h内经阴道出血总量。结果 :胎儿取出 1 5min后的 2 4h出血总量 <1 0 0ml者中 ,米索前列醇组 ( 80 0 % )显著高于催产素组( 33 3% )和对照组 ( 1 0 0 % ) (P <0 0 1 ) ,3组术后 2 4h内出血总量间差异显著 (P <0 0 1 )。结论 :米索前列醇用于预防和减少剖宫产术后出血具有方便、有效、安全、价廉的特点。
Objective: To observe the efficacy of misoprostol in the prevention and reduction of bleeding after cesarean section. Methods: Ninety cases of cesarean section were selected and divided into misoprostol group, oxytocin group and control group according to the use of hemostatic drugs and uterotonics. Each group had 30 cases. Measured fetus after removal of 5min after each group of 24 hours within the total vaginal bleeding. Results: In the misoprostol group (80%) and the control group (100%), the misoprostol group (33.0%) and the control group (P <0.01). There was significant difference between the two groups in the total amount of bleeding within 24 hours after operation (P <0.01). Conclusion: Misoprostol is a convenient, effective, safe and inexpensive method for preventing and reducing bleeding after cesarean section.