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米索前列醇预防妊高征剖宫产术后出血的临床研究 被引量:6

Treatment of Postpartum Bleeding of Patients with Pregnancy Induced Hypertension Syndrome U sing Misoprostol after a Cesarean Section
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摘要 目的:观察米索前列醇(米索)用于预防妊高征剖宫产术后出血的效果。方法:选择107例妊高征剖宫产者,随机分为研究组及对照组。研究组52例,术中打开腹膜时口服米索6001μg;对照组55例,胎儿娩出后,宫体肌内注射缩宫素20U,再静脉滴注缩宫素20U。两组观察术中及术后2h内出血量。结果:术中及术后2h平均出血量,研究组为(232.6±89.2)ml,对照组为(334.3±171.2)ml,差异有极显著性(JP<0.001)。结论:米索促进子宫收缩的作用较强,能较好地预防妊高征剖宫产术后出血。 Objective: To study the effect of misoprostol in the treatment of postpartum bleeding of the patients with pregnancy induced hypertension after a cesarean section. Methods: 107 women with pregnancy induced hypertension who would receive a cesarean section were divided into two groups, the study group and the control group. 52 women in the study group took orally 600 μg misoprostol during the operation, while 55 ones in the control group were injected 20 U oxytocin to uterine muscle immediately, and then 20 U oxytocin by intravenous injection after baby delivery. The amount of bleeding in two groups within 2 hours after delivery was measured. Results: The mean amount of bleeding in the study group was (232. 6±89. 2) ml, and it was (334.3± ?71. 2)ml in the control group. There was significant difference between two groups (P <0. 001). Conclusion: Misoprostol is more effective in the treatment of postpartum bleeding of patients with pregnancy induced hypertension syndrome.
作者 李强
出处 《中国计划生育学杂志》 2004年第6期355-357,共3页 Chinese Journal of Family Planning
关键词 米索前列醇 预防措施 妊高征 剖宫产 术后出血 产后出血 Pregnancy induced hypertension syndrome Cesarean section Postpartum hemorrhage Miso prostol
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