米索前列醇辅助治疗妊高症产后出血的效果分析(1)
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【摘要】目的 探讨米索前列醇辅助治疗妊高症产后出血的效果。方法 将我院76例妊高症行剖宫产的患者随机分为两组，对照组患者给予常规治疗，实验组患者给予米索前列醇辅助治疗，比较两组产妇产后出血率和平均产后出血量。结果 实验组产后2h内出血量(182±77)ml，产后2~24h出血量(41.5±11.0)ml，对照组产后2h内出血量为(318±89.5)ml，产后2~24h出血量(59.0±19.5)ml。实验组产后2h出血量明显少于对照组，具有统计学意义(P<0.05)，两组均有个别患者出现恶心、呕吐、寒颤、发热等不良反应，经对症治疗后症状消失，两组比较无统计学差异(P>0.05)。结论 采用米索前列醇辅助治疗妊高症产后出血的临床效果较好，不良反应轻微，值得在临床应用。
【关键词】米索前列醇 妊高症 产后出血 剖宫产
中图分类号：R714.461 文献标识码：A 文章编号：1005-0515(2012)3-030-02
Effectiveness analysis of misoprostol adjuvant treatment of postpartum hemorrhage pregnancy-induced hypertension
Kang Yun Xiang
(Erenhot Hospital, Inner Mongolia Inner Mongolia Erenhot 011100)
【Abstract】Objective explore the misoprostol adjuvant treatment of pregnancy-induced hypertension postpartum hemorrhage. Methods 76 cases of hospital patients with pregnancy-induced hypertension cesarean section were randomly divided into two groups, control group patients received conventional therapy, the experimental group were treated with the misoprostol adjuvant therapy, were compared between the two groups in maternal postpartum hemorrhage rate and the average post-natal amount of bleeding. Results postpartum hemorrhage 2h of the experimental group (182±77) ml postpartum 2 to 24 h the amount of bleeding (41.5±11.0) ml in the control group post-natal 2h amount of bleeding (318±89.5) ml, 2 ~ 24h post-partum bleeding (59.0±19.5) ml. The amount of bleeding in postpartum 2h of the experimental group was significantly less than the control group was statistically significant (P<0.05) in both groups to individual patients with adverse reactions such as nausea, vomiting, chills, fever, symptoms disappear by the symptomatic treatment, the two groups no significant difference (P> 0.05). Conclusion the clinical effect of misoprostol adjuvant treatment of postpartum hemorrhage pregnancy-induced hypertension, mild adverse reactions, it is worth in clinical applications.
【Key words】misoprostol pregnancy-induced hypertension postpartum hemorrhage cesarean section
妊高症是属于妊娠期特有的疾病，其可造成多种严重并发症的发生，其中产妇产后出血发病率最高。[1]产后出血指的是在胎儿娩出后24h内出血量≥500ml，其是产科较为常见的并发症，是导致孕产妇死亡的最主要原因。[2]近年来采用米索前列醇来辅助治疗妊高症产后出血，取得较好的治疗效果，现将我院应用米索前列醇方案辅助治疗妊高症产后出血的治疗体会总结回报如下：
1 资料与方法
1.1 一般资料 回顾性分析我院于2007年3月~2009年1月所收治的76例妊高症产后出血患者的临床资料，轻度妊高症33例 ......
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