目的：探讨米索前列醇不同给药方式治疗产后出血的临床疗效。方法：选取2012年2月—2015年1月收治的90例行剖宫产并发产后出血的孕产妇。按照入院顺序随机均分为观察组和对照组各45例，缩宫素注射液进行基本处理，均采取米索前列醇治疗，观察组直肠给药，对照组舌下含服。观察两组产妇产后2 h出血量、产后24 h出血量、疗效及不良反应。结果：观察组产妇产后2h出血量、产后24h出血量与对照组比较，差异无统计学意义（ P﹥0.05），两组产妇疗效比较，差异无统计学意义（ P﹥0.05），观察组不良反应发生率低于对照组，两组比较，差异有统计学意义（ P﹤0.05）。结论：米索前列醇不同给药方式治疗产后出血效果相仿，直肠给药不良反应相对较少。%Objective:To explore the postpartum hemorrhage with deliveried by different ways by misoprostol. Methods:All 90 cases of maternal with cesarean section and postpartum hemorrhage were randomly divided into experiment group and con-trol group,they were treated by oxytocin injection,and treated by misoprostol,the control group were treated with sublingual buccal immunotherapy,the experiment group were treated with rectal drug delivery. The bleeding volume for 2 h,24 h,clinical effects ,adverse reactions were observed . Results;There had no significant difference on the 2 h ,2 4 bleeding volume( P ﹥ 0. 05). There had no significant difference on the clinical effects(P﹥0. 05). The adverse reactions for the experiment group were lower than the control group(P﹤0. 05). Conclusion:It has similar effect of bleeding for the patients with postpartum hem-orrhage with deliveried by different ways by misoprostol,rectal drug adverse reactions are relatively fewer.
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