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目的:探讨预防和处理产后出血的有效方法。方法:选择100例有产后出血高危因素产妇。随机分为两组,治疗组50例米索前列醇400μg直肠给药,对照组50例宫体注射催产素20U,用称重法统计产后2h出血量。结果:治疗组产后2h出血量(235±60)mL,对照组出血量(350±60)mL,两组比较差异有极显著性(P<0.01)。结论:催产素配伍米索前列醇促子宫收缩作用强于单用催产素,能较好的预防产后出血,用药方便、安全。另外,预防产后出血要识别出血高危因素早期预防,查找原因采取综合防治措施。
Objective: To explore effective ways to prevent and treat postpartum hemorrhage. Methods: 100 cases of maternal risk factors for postpartum hemorrhage were selected. Randomly divided into two groups, the treatment group, 50 cases of misoprostol 400μg rectum, the control group 50 cases of oxytocin injection of uterine body 20U, using statistics weighing 2h postpartum hemorrhage. Results: The bleeding volume of the treatment group was (235 ± 60) mL at 2h after birth and that of the control group was (350 ± 60) mL. There was significant difference between the two groups (P <0.01). Conclusion: The combination of oxytocin and misoprostol is more effective than oxytocin alone in preventing uterine contractions, which can prevent postpartum hemorrhage and make it convenient and safe for medication. In addition, the prevention of postpartum hemorrhage to identify high-risk factors for early prevention of bleeding, find out the reasons to take comprehensive prevention and control measures.