| 摘要: |
| ［摘要］ 目的 观察米索前列醇预防剖宫产术后出血的疗效。方法 选择200例剖宫产者，随机分为米索前列醇组（简称米索组）和催产素组，每组各100例。米索组术后（即手术结束后）予米索前列醇400 μg纳肛，催产素组于术后立即给予催产素20 U+5%葡萄糖注射液500 ml静脉点滴，分别观察两组产后2 h和24 h出血量、用药后产妇血压及副反应的差异。结果 术后2 h出血量，米索组显著少于催产素组（P<0.05）；两组术后血压变化差异无统计学意义（P>0.05）；副反应两组比较，差异无统计学意义（P>0.05）。结论 米索前列醇预防剖宫产术后出血效果较催产素好。 |
| 关键词: 米索前列醇 纳肛 剖宫产术 产后出血 |
| DOI：10.3969/j.issn.1674-3806.2011.10.17 |
| 分类号:R 719.8 |
| 基金项目: |
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| Clinical observation of prevention of postpartum hemorrhage in cesarean section with misoprostol |
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LIAO Jing
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Department of Obstetrics and Gynecology, Gangbei District People′s Hospital of Guiang City,Guangxi 537100，China
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| Abstract: |
| ［Abstract］ Objective To observe the effects of misoprostol in prevention of postpartum hemorrhage in cesarean section.Methods Two hundred parturients women undergoing cesarean sections were randomized into two groups.Misoprostol group(n=100)：400 μg misoprostol was given by anal administration immediately after cesarean section；Oxytocin group (n=100)：20 U oxytocin was given by intravenous drip immediately after cesarean section. The amount of bleeding within 2 h and 24 h after delivery，the blood pressure and the side effects after using medicine was observed.Results The mean amount of bleeding in misoprostol group within 2 h and 24 h was much less than that in oxytocin group (P<0.05 )；there was no significant differences in blood pressure between two groups (P>0.05)；there was no significant difference in the side effects between two groups (P>0.05).Conclusion Misoprostol is more effective in prevention of postpartum hemorrhage in cesaream section than oxytocin. |
| Key words: Misoprostol Anal administration Cesarean section Postpartum hemorrhage |
