米索前列醇宫腔放置减少术中术后子宫出血分析  

Analysis of Misoprostol by Intrauterine Placed to Reduce Intraoperative Postoperative Uterine Bleeding

作　　者：董晓萍[1] 王芳[1] 孟玲[1] 

机构地区：[1]安徽省滁州市第一人民医院妇产科,239000

出　　处：《中华全科医学》2013年第11期1709-1709,1780,共2页Chinese Journal of General Practice

摘　　要：目的探讨米索前列醇宫腔内放置预防术中及术后子宫出血的效果。方法选择滁州市第一人民医院2012年9月-2013年4月有产后出血高危因素的剖宫产病例180例,随机分为实验组和对照组各90例,其年龄、孕周、孕次、产次、手术指征以及伴有产后出血高危因素与实验组无明显差异,实验组剖宫产术中宫体注射缩宫素20 U并宫腔放置米索前列醇0.4 mg,对照组剖宫产术中宫体注射缩宫素20 U,比较两组在术中及术后2 h总出血量,样本资料采用t检验。结果实验组在术中及术后2 h总出血量均少于对照组。两组数据差异有统计学意义(P<0.05)。结论剖宫产术中米索前列醇宫腔放置能有效预防剖宫产术中及术后子宫出血,其方法简便,效果显著。Objective To investigate the misoprostol intrauterine placed to prevent intraoperative,postoperative uterine bleed-ing effect. Methods From September 2012 to April 2013,180 cases of cesarean section without obvious complications were cho-sen and randomly divided into experimental group and control group（ n = 90 ）. Experimental group cesarean section 20 u and uter- ine contractions from injection in placing misoprostol 0.4 mg, the control group 20 u from injection of oxytocin in cesarean sec-tion. Two groups 2 hours blood loss （ intraoperative and postoperative samples was compared with t test. Results The experimen-tal group 2 hour in intraoperative and postoperative blood loss was less than that of the control group. There was statistical signifi-cance. Conclusion The uterine cavity placing misoprostol was effective in the prevention and postoperative uterine bleeding in cesarean section.

关 键 词：米索前列醇 宫腔内放置 剖宫产术 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]