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目的 观察卡孕栓用于剖宫产预防产后出血的效果。方法 将 10 7例剖宫产者分为A组 (卡孕栓加催产素组 )和B组 (催产素组 )。A组 48例 ,在术中准备切开子宫时舌下含卡孕栓 1枚 ,同时静脉滴注催产素 10U ,当胎儿娩出后宫体注射催产素 2 0U ;B组 5 9例 ,于切开子宫前静脉滴注催产素 10U ,胎儿娩出后宫体注射 2 0U ,观察两组术中及术后 2 4h内出血量。结果 术中及术后 2 4h内A组平均出血量分别为 (2 5 0 .2 1± 49.5 5 )及 (314 .6 9± 5 5 .40 )ml ,B组分别为 (35 1.19± 72 .71)及(435 .0 0± 92 .6 1)ml,两组比较差异有显著意义 (P <0 .0 5 )。结论 卡孕栓为一种较好的子宫收缩剂 ,能有效地预防剖宫产的出血 ,且用药方便、安全。
Objective To observe the effect of carbamazepine on cesarean section in preventing postpartum hemorrhage. Methods 107 cesarean section patients were divided into group A (carbapenem plus oxytocin group) and group B (oxytocin group). A group of 48 patients, intraoperative preparation for the uterus when the sublingual card pregnant with a suppository, while intravenous infusion of oxytocin 10U, when the fetus was delivered oxytocin 2OU uterine body; B group 59 cases, in the open Intrauterine uterine infusion of oxytocin 10U, intrauterine injection of the fetus after delivery 20U, intraoperative and postoperative 24 hours to observe the amount of bleeding. Results The average amount of bleeding in group A was (24.02 ± 49.5 5) and (314.69 ± 5.55) ml for group A and group B respectively within 24 h after operation and (35 1.19 ± 72 .71) and (435 .0 ± 92.61) ml, the difference between the two groups was significant (P <0.05). Conclusion Kapusi suppository is a good uterine contraction agent, which can effectively prevent the bleeding of cesarean section, and the medication is convenient and safe.