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目的观察剖宫产术后催产素的两种不同使用方法对预防剖宫产术后出血的效果。方法随机将患者分为观察组和对照组,观察组是在胎儿娩出后宫体注射20单位催产素,再静脉点滴催产素20单位先快滴30min,后维持至回病房,再给予催产素20单位持续静脉点滴至产后6h,同时开通另一路静脉点滴其它补液;对照组回病房后再按正常滴速点滴20单位催产素及其它补液,不另外开通静脉。结果观察组产后出血量明显少于对照组,差异显著性(P<0.05)。结论在剖宫产术后持续静脉点滴催产素6h能有效加强宫缩,预防产后出血。
Objective To observe the effect of two different methods of oxytocin after cesarean on the prevention of bleeding after cesarean section. Methods The patients were randomly divided into observation group and control group. In the observation group, 20 units of oxytocin were injected into the uterine body after the fetus was delivered. Then 20 units of oxytocin were intravenously dripped for 30 minutes and then returned to the ward, then 20 units of oxytocin Continuous intravenous drip to postpartum 6h, while opening another way intravenous drip other rehydration; control group back to the ward and then by the normal drip rate drip 20 units of oxytocin and other rehydration, no additional opening of the vein. Results The amount of postpartum hemorrhage in the observation group was significantly less than that in the control group (P <0.05). Conclusion Intravenous oxytocin 6 h after cesarean section can effectively strengthen uterine contractions and prevent postpartum hemorrhage.