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目的观察卡孕栓与徒手按摩子宫法联合应用对产后出血的预防效果。方法选择自然分娩的产妇460例,随机分为观察组和对照组,每组230例。两组均在胎儿娩出后常规静脉滴注催产素的基础上,观察组于胎盘娩出后舌下含服卡孕栓并进行徒手按摩子宫预防产后出血,对照组则采用经腹按摩子宫法预防产后出血。比较两组产时、产后2h及24h的出血量。结果观察组产时、产后2h、24h的出血量明显低于对照组(P<0.05)。结论卡孕栓与徒手按摩子宫法联合使用对预防产后出血效果显著。
Objective To observe the prevention of postpartum hemorrhage by the combination of carbamazepine and hand massage uterus. Methods Select 460 cases of spontaneous labor, were randomly divided into observation group and control group, 230 cases in each group. On the basis of conventional intravenous infusion of oxytocin after the delivery of the fetus in both groups, the observation group received sublingual carboplatin after the delivery of the placenta and hand massaged the uterus to prevent postpartum hemorrhage. The control group was treated with transabdominal massage to prevent postpartum Bleeding. The bleeding volume was compared between the two groups during delivery and 2h and 24h postpartum. Results In the observation group, the amount of bleeding at 2 hours and 24 hours postpartum was significantly lower than that of the control group (P <0.05). Conclusions The combination of carbamazepine and uterine massage with hand massage can effectively prevent postpartum hemorrhage.