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目的观察剖宫产术中应用卡孕栓预防产后出血的有效性和安全性。方法 412例剖宫产产妇随机分为实验组206例和对照组206例,实验组在腹膜切开后舌下含服卡孕栓lmg,两组产妇在胎儿娩出后均向子宫肌层注入催产素20IU,静脉滴注催产素20IU,观察2组术后2h及产后24h、72h的总出血量及不良反应。结果 2组产妇在术后2h、24h、72h的总出血量,实验组明显低于对照组(P<0.05),未出现明显副反应。论剖宫产术中舌下含服卡孕栓能够有效地促进子宫收缩,预防剖宫产产后出血,方法简单、安全。
Objective To observe the effectiveness and safety of using carbamazepine to prevent postpartum hemorrhage in cesarean section. Methods A total of 412 cesarean section women were randomly divided into experimental group (206 cases) and control group (206 cases). The experimental group received sublingual injection of carboplatin (1 mg) after peritoneal incision. Both groups were injected oxytocin into the myometrium after the fetus was delivered 20IU intravenous infusion of oxytocin 20IU, 2h after operation and postpartum 24h, 72h of the total amount of bleeding and adverse reactions. Results The total amount of bleeding in 2 maternal groups at 2 h, 24 h and 72 h after operation was significantly lower in the experimental group than in the control group (P <0.05). No obvious side effects occurred. On cesarean section in the sublingual carbamazepine suppository can effectively promote uterine contraction, prevention of bleeding after cesarean section, the method is simple and safe.