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目的探讨卡前列甲酯栓对预防产后出血的临床疗效。方法将200例单胎、头位、无难产因素的产妇随机分为观察组和对照组,各100例。观察组用卡前列甲酯栓1.0 mg,待胎儿娩出后医生带一次性手套立即置入直肠内(约4 cm左右);对照组用缩宫素20 U,待胎儿后立即静脉滴注。结果两组第三产程所需时间及产后2 h出血量比较,差异有统计学意义(P<0.05)。结论卡前列甲酯栓促进子宫收缩作用优于缩宫素,而且简单、方便、安全、不良反应小,是预防产后出血理想药物。
Objective To investigate the clinical efficacy of card top column in preventing postpartum hemorrhage. Methods 200 singleton, head position, no dystocia factors were randomly divided into observation group and control group, each 100 cases. Observation group with card forefront of methyl ester suppositories 1.0 mg, to be fetus after delivery of the doctor with a disposable glove immediately into the rectum (about 4 cm or so); control group with oxytocin 20 U, to be infused immediately after fetal intravenous infusion. Results The time required for the third stage of labor and the amount of bleeding 2 h postpartum in both groups were significantly different (P <0.05). Conclusions Cardioprotection of methyl ester suppository is better than oxytocin in promoting uterine contraction, and it is simple, convenient, safe and with less adverse reactions. It is the ideal drug to prevent postpartum hemorrhage.