缩宫素联合米索前列醇预防剖宫产产后出血的临床效果分析

Clinical analysis of oxytocin combined with misoprostol in preventing postpartum hemorrhage of cesarean section

目的探究缩宫素联合米索前列醇预防剖宫产产后出血的临床效果分析。方法本次实验选取了2016年3月~2016年10月在北京市延庆区医院就诊并进行剖宫产产妇86例,根据产妇入院时间随机进行分组,分为实验组和对照组,各43例。术前对2组产妇不同治疗方式进行心理护理使产妇精神压力得到放松,缓解内心焦虑和紧张的心情。实验组除常规进行宫体注射缩宫素,同时对产妇舌下含服米索前列醇;对照组常规对产妇进行缩宫素宫体注射进行预防治疗。结果 2组经治疗,实验组的有效病例32例,无效病例1例,有效率高达97.67%;对照组有效病例仅为22例,无效病患8例,总有效率81.39%,2组差异有统计学意义（P〈0.05）。结论缩宫素联合米索前列醇预对防剖病患宫产产后出血具有良好的治疗效果,相比于原有常规治疗,有较高的有效率,并且不良反应较少,对产妇的舒适度有较高的提高,在一定程度上是临床上较为优秀的治疗方式。

Objective To investigate the clinical effect of oxytocin combined with misoprostol in preventing postpartum hemorrhage of cesarean section. Methods 86 patients with cesarean section who were treated and diagnosed in our hospital from March 2016 to October 2016 were randomly divided into experimental group and control group according to the time of hospitalization. The patients were randomly divided into experimental group and control group. 43 cases. Preoperative two groups of patients with different treatment methods for science introduction,so that pregnant women mental stress to relax,ease the heart anxiety and nervous mood. On the basis of conventional treatment,the experimental group received the uterine injection of oxytocin,while the patients under the tongue to take drugs; the control group of patients with oxytocin injection for preventive treatment. Results In the two groups,32 cases were effective in the experimental group,1 case was ineffective,the effective rate was 97. 67%,compared with 10 cases in the control group,16 cases were ineffective,the total effective rate was 62. 79 % was statistically significant（ P〈 0. 05）. Conclusion Oxytocin combined with misoprostol has a good therapeutic effect on the postpartum hemorrhage in the prevention and treatment of uterine bleeding. Compared with the original conventional treatment,there is a high efficiency,and the patient＇s comfort is Higher to improve,to a certain extent,is the more excellent clinical treatment.