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3种预防产后出血方法的临床效果分析 被引量:1

Clinical analyse of effect on prevention of postpartum bleeding by three kinds of methods
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摘要 目的 :寻找简单、方便、有效的预防产后出血的方法。方法 :将 30 0例无合并症产妇分成 3组 ,均于胎儿娩出后立即给药。A组 10 0例给缩宫素 2 0U ,静脉注射 ;B组 10 0例给米索前列醇 4 0 0μg ,口服 ;C组 10 0例给卡前列甲酯栓 1mg置入直肠内。比较 3组产后 2h出血量。结果 :A组的产后 2h出血量为 (2 5 1±s 71)mL ,B组和C组的产后 2h出血量分别为 (15 9± 6 7)mL和 (15 0± 73)mL ,A组明显多于B组和C组 ,差异有显著意义 (P<0 .0 1)。而B组和C组间差异无显著意义 (P >0 .0 5 )。结论 :米索前列醇。 AIM: To seek a simple and effective method to prevent postpartum bleeding. METHODS: Three hundred normal parturients were divided into three groups. All of them were given medicine immediately after the delivery of the fetus.One hunderd parturients in group A ,were given 20 U oxytocin iv. One hunderd parturients in group B were given misoprostol 400 μg, po . One hunderd parturients in group C were given methyl carprost suppository 1 mg via the rectum. The amount of postpartum bleeding within 2 h of three groups was compared. RESULTS: The mean amount of bleeding for parturients who recived oxytocin was (251± s 71) mL, in contrast ,the mean amount of bleeding for parturients who recived misoprostol and methyl carprost were (159±67) mL and (150±73) mL. The differences in the amount of bleeding among group A,B and C, were significant ( P <0.01), whearas differences between group B and group C were not significant ( P >0.05).CONCLUSION: Both misoprostol and methyl carprost suppository can prevent postpartum bleeding effectivly.
作者 黄莉 纪立平
出处 《中国新药与临床杂志》 CAS CSCD 北大核心 2003年第6期347-349,共3页 Chinese Journal of New Drugs and Clinical Remedies
关键词 产后出血 预防 缩宫素 米索前列醇 卡前列甲酯栓 oxytocin misoprostol methyl carboprost suppository postpartum hemorrhage
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  • 1BOUCHER M. Comparison of carbetocin and oxytocin for the prevention of postpartum hemorrhage following vaginal delivery: A double-blind randomized trial[J]. J Obstet Gynaecol Can, 2004, 26 (5): 481-488.
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  • 5潘明明.缩宫药的种类、性质及产时的应用方法[J].实用妇产科杂志,2003,19(5):262-263. 被引量:52
  • 6程敏,闻良珍.产后出血的治疗策略[J].中华围产医学杂志,2003,6(3):184-186. 被引量:41

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