两种方法治疗妊娠高血压疾病患者产后出血的疗效比较

Comparison of pregnancy induced hypertension caused postpartum hemorrhage by two treatment methods

目的比较两种方法对妊娠高血压疾病患者产后出血的治疗效果。方法选择住院分娩妊娠高血压疾病患者104例，随机分成两组，给予不同的药物治疗：米索前列醇＋缩宫素组（观察组）54例和缩宫素组（对照组）50例，比较两组产后出血及不良反应发生情况。结果观察组产后出血5例（9．3％）明显低于对照组11例（22．0％）（P〈0．05）；观察组平均产后出血量（195．6±88．4）ml明显低于对照组（303．2±111．6）ml（P〈0．05）。结论米索前列醇直肠用药配合缩宫素防治妊娠高血压疾病患者产后出血安全有效。

Objective To compare of pregnancy induced hypertension caused postpartum hemorrhage by two treatment methods. Methods 104 patients with pregnancy induced hypertension were randomly divided into misoprostol plus oxytocin group（ observation group）54 cases and the control group（ 50 eases）, used oxytoein alone, respectively. Results postpartum hemorrhage in The observation group of is five cases （9.2%）which was significantly lower than the control group of 11 cases （ 22. 0% ） （ Χ^2 = 3.95,P 〈 0. 05 ）. average postpartum hemorrhage in observation group is （ 195.6 ± 88.4） ml which was significantly lower than the control group （303.2 ± 111.6 ） ml （ t = 2. 31, P 〈 0. 05 ）. Conclusion Misoprostol combined with oxytocin is effective, safe and convenient to patients with postpartum hemorrhage caused by pregnancy induced hypertension.