卡前列甲酯栓预防产后出血的临床观察

目的探讨卡前列甲酯栓对产后出血的应用价值及应用时机。方法使用前瞻性随机分组方法，将正常足月妊娠阴道分娩的产妇200例分为三组：卡前列甲酯栓产前组于第二产程末胎头已着冠，估计于1～2个宫缩娩出时肛塞卡前列甲酯栓1mg；卡前列甲酯栓产后组于胎儿娩出后立即给予相同的处理；对照组于胎儿娩出后立即给予缩宫素20IU经腹壁宫体注射。比较第三产程和产后出血量。结果卡前列甲酯栓产前组的第三产程时间明显短于产后组和对照组（P〈0．01），产后出血量也明显减少。结论卡前列甲酯栓在产前应用可有效预防产后出血的发生。

Observation on the Carboprost Methylate suppository in reducing postpartum hemorrhage

Objective To study points of attention in prevention and management about postpartum hemorrhage.Methods Using a prospective randomized grouping method,the normal term pregnancy vaginal delivery in a parturient with 200 cases into three groups,Carboprost prenatal group in the second stage of labor at the end of the fetal head was a crown,estimated in 1 ~ 2 uterine delivery of methyl carprost suppository anal plug 1 mg,Carboprost postpartum group in the delivery of the fetus was given immediately after the same treatment.The control group in the delivery of the fetus was given immediately after uterine contraction and 20 IU transabdominal uterine body injection,comparison of third labor and postpartum hemorrhage volume.Results Carboprost prenatal group of third labor time was shorter in the postnatal group and control group(P<0.01),postpartum hemorrhage volume was significantly reduced.Conclusion Methyl Carprost Suppository in prenatal application can effectively prevent the occurrence of postpartum hemorrhage.