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目的舌下含服卡孕栓与静脉注射催产素联合应用对减少产后出血量的效果观察。方法选择120例孕37～42周正常足月妊娠经阴道分娩的产妇随机分为两组,都于胎儿前肩娩出后立即给药。实验组:分娩前有静脉点滴的从小壶入催产素20单位,无静脉点滴的静推催产素20单位+10%GS20ml,同时舌下含服卡孕栓1mg;对照组:舌下含服卡孕栓1mg。用药后观察第三产程时间,产后出血量,血压、脉搏及其不良反应。结果第三产程时间、第三产程出血量、胎盘娩出后至产后2小时出血量实验组明显少于对照组(P<0.01),产后2小时至产后24小时出血量两组差别不显著(P>0.05)。结论舌下含服卡孕栓合用催产素是一种易掌握、安全、有效、快捷、易于推广的预防产后出血的方法,对于缩短第三产程、预防宫缩乏力性产后出血效果优于单纯应用卡孕栓。
Objective To observe the effect of sublingual administration of carbamazepine and intravenous oxytocin on the reduction of postpartum hemorrhage. Methods 120 cases of 37-42 weeks of gestation during normal vaginal delivery of full-term pregnant women were randomly divided into two groups, both in the anterior shoulder immediately after delivery. Experimental group: intravenous infusion before delivery from the pot into the oxytocin 20 units, intravenous drip of intravenous oxytocin 20 units +10% GS20ml, while sublingual subcontracted card pregnant suppository 1mg; control group: sublingual card Pregnant suppository 1mg. After treatment, observe the third stage of labor time, postpartum hemorrhage, blood pressure, pulse and adverse reactions. Results The amount of bleeding during the third stage of labor and the third stage of labor was significantly lower in the experimental group than in the control group (P <0.01), but no significant difference was found between the two groups (P <0.01) > 0.05). Conclusions Sublingual hypocapsy combined with oxytocin is a safe, effective, quick and easy method to prevent postpartum hemorrhage. It is superior to simple application in shortening the third stage of labor and preventing postpartum hemorrhage with uterine atony. Card pregnant plug.