缩宫素与米索前列醇联合用药预防产后出血60例疗效观察

发表时间：2014-01-21 浏览次数：472次

引用：

庄超，黄宇微，吴丽.缩宫素与米索前列醇联合用药预防产后出血60例疗效观察[J].吉林医学,2014,35(3):453-454.

关键词：

缩宫素；米索前列醇；产后出血；预防

作者：

庄超，黄宇微，吴丽

作者单位：

广东省湛江农垦第二医院，广东湛江 524272

出版年份：

2014

期刊页数：

453-454

收录者：

万方

摘要：

目的：探讨缩宫素与米索前列醇联合用药预防产后出血的临床疗效。方法：选择60例自由分娩的产妇，随机分为对照组与观察组。对照组30例在胎儿娩出后给予缩宫素10 IU肌内注射，观察组30例在给予缩宫素10 IU肌内注射的同时配合米索前列醇片0.6 mg 直肠给药。观察并比较两组的产后2 h和24 h出血量以及用药前后的血压、脉搏等情况。结果：观察组产后2 h和24 h出血量明显少于对照组（P＜0.05），产后出血的发生率明显较低（P＜0.05）。结论：缩宫素联合米索前列醇可显著减少产后出血量，降低产后出血的发生率，是一种安全、有效和易于掌握的方法，值得临床推广 jective To investigate the curative effect of pitocin combined with misoprostol in prevent treatment of postpartum hemorrhage patients.Methods 60 puerperae were selected and divided into two groups.In control group,30 puerperae were treated by pitocin 20 IU intramuscular injection.In observation group,30 puerperae were treated by pitocin 20 IU intramuscular injection combined with misoprostol 0.6 mg sublingual.The effects of the two groups were compared.Results The differences of the first and second stage of labor of two groups were not significant(P＞0.05).The third stage of labor of observation group was shorter than control group(P＜0.05).The postpartum bleeding volume of observation group within 2 and 24 hours were less than control group(P＜0.05).And the postpartum hemorrhage rate was significantly lower(P ＜0.05).Conclusion Pitocin combined with misoprostol can significantly reduce the amount of postpartum hemorrhage,reduce the incidence of postpartum hemorrhage.It is a safe,effective and easy mastering method.It is worth for generalization.

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