米索前列醇联合缩宫素预防剖宫产术后出血的观察及护理  

Observation and nursing of combining misoprostol with oxytocin to preventing postcaesarean hemorrhage

作　　者：陈少敏[1] 冯伟玲[1] 卢健玲[1] 钟瑞卿[1] 刘惠华[1] 邓树珍[1] 

机构地区：[1]广东省肇庆市第一人民医院,广东526021

出　　处：《国际护理学杂志》2011年第6期943-945,共3页international journal of nursing

摘　　要：目的观察米索前列醇联合缩宫素用于预防剖宫产术后出血的效果及护理。方法将100例有发生产后出血高危因素的剖宫产产妇，随机分为两组：观察组50例和对照组50例，观察组在胎儿娩出后用米索前列醇联合缩宫素刺激宫缩，对照组（传统做法）于胎儿娩出后单纯用缩宫素刺激宫缩。观察两组产后2h出血量和24h出血量、子宫收缩情况及术后肠功能恢复时间。结果观察组术后2h阴道出血量（136．86±36．10）ml，24h阴道出血量（162．50±60．20）ml，与对照组比较明显减少，差异具有显著性意义（P〈0．05）。观察组肠功能恢复时间（21±3．6）h，与对照组比较明显缩短（P〈0．05）。结论米索前列醇联合缩宫素可明显加强子宫收缩，减少剖宫产术后出血量，肠功能恢复快、效果显著、副作用少。Objective To observe the effect and nursing of combining mlsoprostol with oxytocin to preventing Post- caesarean Hemorrhage. Methods One hundred cases with postpartum hemorhaage high risk factor were divided into study group and control group randomly, each group included 50 cases. Study group were treated by combining misoprostol with oxytocin to stimulate uterine contraction after fetal delivery, control group （traditional method） were treated by oxytecin to stimulate uterine contraction after fetal delivery. To observe two groups＇bloed loss, uterine contraction situation and postoperative intestines function comeback time after caesarean 2h and 24h. Results Of study group postoperative 2 h blood loss was （ 136.86±36. 10） ml, 24 h blood loss was （ 162.50±60.20） ml , compared with control group blood loss was decreased clearly, difference was significant （ P 〈 0. 05 ）, . intestines function comeback of study group was quickly （ 21 ± 3. 6） h, compared with control group, the difference was significant （ P 〈 0. 05 ） . Conclusions Combining misoprostol with oxytecin can enhance uterine contraction, decrease cesarean postoperative blood loss , and intestines function comeback is quick.

关 键 词：剖宫产术 米索前列醇 缩宫素 产后出血 护理 

分 类 号：R473.71[医药卫生—护理学]