目的：探索将米索前列醇片放置在子宫腔内，防治产妇剖宫产手术后大出血的临床疗效。方法：选取行剖宫产的116例产妇，随机分为两组，平均每组58例，对照组在胎儿娩出后子宫壁及静脉各注射20 u缩宫素，试验组在对照组应用缩宫素的基础上将米索前列醇片0.4 mg放置子宫腔内。研究分析两组产妇在剖宫产手术后24小时内的出血量、出血发生的频率及产生的不良反应等。结果：试验组的产妇术后24小时内的出血量为（263.43±57.89）ml明显低于对照组的产妇术后的出血量（454.45±56.45）ml，两组产妇差异有统计学上意义（ P<0.05），但两组的产妇在手术中和术后的生命体征没有显著的差异，不具有统计学意义（ P>0.05）。结论：将米索前列醇片放置在产妇的子宫腔内可以有效控制剖宫产后大出血，这一方法方便、价廉、安全，值得广泛推广应用。%Objective To explore the clinical efficacy of placing misoprostol tablets in the uterine cavity for controlling bleeding after cesarean section. Methods 116 puerperae of cesarean section were randomly divided into two groups,58 cases in each group,the control group was injected 20 u Oxytocin in uterine wall and vein,the experimental group was placed 0. 4 mg of misoprostol tablets in uterine cavity on the basis of control group. the bleeding volume,the incidence of bleeding and adverse reactions of two groups puerperae in 24 hours after surgery were studied and analyzed. Results The amount of bleeding in experimental group within 24 hours after surgery( 263. 43 ± 57. 89)ml was significantly lower than the control group(454. 45 ± 56. 45)ml,the clinical efficacy of two groups had significant differences (P<0. 05);but the vital signs during and after surgery of two groups had no significant differences,which wasn't statistically significant(P>0. 05). Conclusion Placing misoprostol tablets in the maternal uterine cavity can control bleeding after cesarean section effectively,convenient ,cheap and safe,which is worthy of wide application.
展开▼
