米索前列醇预防产后出血临床观察.pdfVIP

第22卷 第6期 内蒙古民族大学学报(自然科学版) Vo1．22 No．6 2007年 12月 Journal of Inner Mongolia University for Nationalities Dee．2007 米索前列醇预防产后出血临床观察 李艳文 ，李传林2，赵 (1．内蒙古通辽经济开发区河西医院妇产科。内蒙古通辽 028000； 2．内蒙古通辽市科尔沁区木里图镇卫生院，内蒙古通辽 028000) [摘 要】目的：探讨产妇舌下含服米索前列醇预防产后出血的效果．方法：实验组100例产妇于胎头着冠时舌 下含服米索前列醇600~g，对照组90例产妇于胎肩娩出后立即静脉注射缩官素20IU．用容积法和称重法测量 两组产妇的产后出血量．结果：实验组产妇产后失血量平均为(116．43±94．32)ml。对照组产妇产后失血量平 均为(296．52±79．41)rn1，两组产妇产后失血量差异显著(P0．01)．结论：舌下含服米索前列醇可有效减少 产妇的产后失血量． [关键词】米索前列醇；产后出血；预防 [中囤分类号】R714 [文献标识码】A [文章编号]1671—0185(2007)06—0683—02 Clinical Observation on the Effect of Misoprostol Preventing Postpartum Hemorrhage LI Yan—wen ，LI Chuan—lin2，ZHAO Dan (1．Hexi Hospital of Tongliao City Economic Development Zone。Tongliao 028000。China； 2．Kerchin District Mulitu Town Health Centre，Tongllao 028000，China) Abstract：Objective：To study the effect of misoprostol via sublingual administration tO prevent postpartum hemorrhage．Methods：100 parturients in test group were administrated sublinguaUy with 600ug of misoprostol as soon as crowning of head，and 90 parturients in control group were injected 20IU of oxytocin via vein．The amount of postpartum hemorrhage Was measu．red with vol— umetric and wei ghing methods．Results：The average volume of bleeding for the parturients in test group was(1l6．43±94．32)ml，and that for those in control group Was(296．52±79．41)m1． There Was significant difference between the amount of bleeding in two groups(P0．01)．Con- clusion：Misoprostol via sublingual administration can effectively reduce the am ount of postpartum hemorrhage． Key words：Misoprostol；Postpartum hemorrhage；Prevention 产后出血是产科常见并发