【摘要】：目的探討米索前列醇直腸用藥聯(lián)合催產(chǎn)素對剖宮產(chǎn)術(shù)后出血的療效。方法選取2012年3月~2013年3月來我院進(jìn)行剖宮產(chǎn)分娩的產(chǎn)婦180例,將其分為觀察組和對照組,各90例。對照組給予催產(chǎn)素治療,觀察組在催產(chǎn)素基礎(chǔ)上再給予米索前列醇直腸給藥。記錄和觀察兩組患者不同時間的出血量、第三產(chǎn)程時間、產(chǎn)婦手術(shù)后恢復(fù)時間及新生兒情況。結(jié)果兩組患者手術(shù)中出血量比較,差異無統(tǒng)計學(xué)意義(P0.05);對照組手術(shù)后2 h及24 h的出血量、第三產(chǎn)程時間明顯高于觀察組,差異有統(tǒng)計學(xué)意義(P0.01);兩組產(chǎn)婦手術(shù)后恢復(fù)時間及新生兒情況比較,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論在產(chǎn)婦實施剖宮產(chǎn)手術(shù)時運用米索前列醇直腸用藥聯(lián)合催產(chǎn)素對預(yù)防手術(shù)后出血情況的療效良好,值得臨床推廣與使用。
[Abstract]:Objective to investigate the effect of misoprostol combined with oxytocin on bleeding after cesarean section. Methods 180 parturients undergoing cesarean section from March 2012 to March 2013 were divided into observation group (n = 90) and control group (n = 90). The control group was treated with oxytocin, and the observation group was treated with misoprostol rectum on the basis of oxytocin. The blood loss, the third stage of labor, the recovery time after operation and the neonatal condition were recorded and observed in the two groups. Results there was no significant difference in the amount of blood loss between the two groups (P 0.05). The bleeding volume and the third stage of labor time in the control group were significantly higher than those in the observation group at 2 h and 24 h after operation (P 0.01). There was no significant difference in the recovery time and neonatal situation between the two groups (P 0.05). Conclusion Misoprostol combined with oxytocin is effective in preventing postoperative bleeding in parturients undergoing cesarean section, and it is worth popularizing and using in clinic.
【作者單位】： 涿鹿縣中醫(yī)院婦產(chǎn)科;井陘縣醫(yī)院婦產(chǎn)科;
【分類號】：R714.461;R719.8
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本文編號：2521652