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目的观察米索用于择期剖宫产预防产后出血的效果。方法选本院70例择期剖宫产,随机分三组,第一组和第二组24例均用①切开皮肤时口服嚼米索200ug。②胎盘胎膜娩出,宫腔擦拭干净后放入米索200ug。第二组在胎儿娩出后加催产素20u,子宫肌层注射。第三组在胎儿娩出后子宫肌肉注射催产素20u+静滴催产素20u。三组观察术中术后2小时出血量。结果①②比较无显著差异P>0.05。①②比较有极显著差异P<0.01。结论米索促进宫缩,强于催产素,能较好预防择期剖宫产术后出血,用药方便安全。
Objective To observe the effect of misoprostol on elective cesarean section to prevent postpartum hemorrhage. Methods Elective 70 cases of cesarean section were randomly divided into three groups, the first group and the second group of 24 patients were used ① open the skin chewing misoprostol 200ug. ② placenta fetal membranes delivered, uterine wiped cleanly into the misoprostol 200ug. The second group in the fetus after delivery plus oxytocin 20u, myometrial injection. The third group in the fetus after uterine muscle injection of oxytocin 20u intravenous infusion of oxytocin 20u. Three groups were observed intraoperative blood loss after 2 hours. Results ① ② no significant difference between the P> 0.05. ① ② more significant difference P <0.01. Conclusion Misoprostol promote uterine contractions, stronger than oxytocin, can better prevent elective cesarean section after bleeding, medication convenient and safe.