米索前列醇預防剖宮產產后出血的療效觀察

摘要：目的探討應用米索前列醇預防剖宮產產后出血的療效觀察。方法回顧性分析2012年7月~2013年7月我院待產分娩的孕婦200例，其中100例產婦在胎兒免除后采用注射催產素（催產素組），另100例產婦給予米索前列醇片舌下含化（米索前列醇組），對比兩組產婦產后出血情況。結果催產素組產婦在產后2h內出血量（194.7±47.1）ml，產后24h出血量（320.5±46.4）ml；米索前列醇組產婦產后2h內出血量（128.5±43.8）ml，產后24h出血量（190.4±38.1）ml，差異顯著（P＜0.05），有統計學意義。結論為了更好的減少產婦在分娩以及產后的出血量，可以及時的給予米索前列醇片能夠有效的減少出血量，避免了產婦術后大出血情況發生，值得臨床推廣應用。

關鍵詞：米索前列醇片；催產素；出血

Analysis of Curative Effect of Postpartum Hemorrhage of Cesarean Section to Prevent Misoprostol

LI Mao-rong

(Department of Obstetrics，The First People's Hospital of Yichun City，Yichun 336000，Jiangxi，China)

Abstract：Objective To explore the application of misoprostol to prevent postpartum observation of curative effect of postpartum hemorrhage. MethodsA retrospective analysis of 2012 July to 2013 July in our hospital 200 cases of pregnant women for childbirth， including 100 cases of maternal fetal exemption in the injection of oxytocin (pitocin group)， the other 100 cases were given Misoprostol Tablets (sublingual misoprostol group)， compared with two groups of postpartum hemorrhage. ResultsThe oxytocin group maternal bleeding within two hours postpartum (194.7 ± 47.1) ml， 24h post partum bleeding (320.5 ± 46.4) ml; the amount of postpartum bleeding misoprostol group within two hours (128.5 ± 43.8) ml， 24h post partum bleeding (190.4 ± 38.1) ml， significant difference (P< 0.05)， there was statistical significance. ConclusionIn order to reduce the amount of bleeding parturient in childbirth and postpartum， can give timely Misoprostol Tablets can effectively reduce the amount of bleeding， the bleeding occurred after cesarean， worthy of clinical application.

Key words：Misoprostol tablets; Oxytocin; Hemorrhage