】目的：探讨剖宫产手术中应用米索前列醇和催产素控制产后出血的效果。方法：选取201 年
月～201 年 月我院妇产科收治的行剖宫产手术的产妇1 0 例，将其随机分为观察1 组、观察2 组与观察 组，每
组患者 0 例。观察1 组患者单用米索前列醇，观察2 组患者单用催产素，观察 组患者采用米索前列醇与催产素
联合用药。观察并比较三组患者术中、术后2h 及术后2 h 的出血量。结果：观察 组患者的产后出血率为1. %，
较观察1 组患者产后出血率5.0% 与观察2 组患者产后出血率 . % 明显降低，差异较为显著，均具有统计学意
义；观察1 组与观察2 组患者产后出血率比较，两组间差异具有统计学意义；在出血量方面，观察 组患者术中、
术后2h 及术后2 h 的出血量较观察1 组与观察2 组患者出血量明显降低，差异均具有统计学意义；观察1 组与观
察2 组患者手术中出血量间比较差异无无统计学意义，但是在产后2h 与产后2 h，观察1 组出血量明显低于观察
2 组，两组间差异具有统计学意义。结论：在剖宫产手术中联合应用米索前列醇与催产素能够有效的控制产后出
血量，具有良好的临床疗效，值得在临床上进一步的推广与应用。

Objective To explore effect of using misoprostol and oxytocin to control postpartum hemorrhage in the operation
of cesarean delivery. Methods There are 180 cases of maternal come to our hospital for the operation of cesarean delivery
at the time from June 2013 to June 2014, and then devided them into observation group 1, observe group 2 and observation
group 3 with 60 maternals in each group randomly. The observation group 1 was given misoprostol for treatment, the observation
group 2 was given postpartum hemorrhage for treatment independently, and the observation group 3 was given misoprostol
combine with postpartum hemorrhage for treatment. Observed and compared the amout of bleeding of the three groups at the time of in the process of operation, 2 hours after the operation and 24 hours after the operation. Results The bleeding rate after
childbirth of observation group 3 is 1.67 %, we can find it is obvious lower than 5.0 % of the observation group 1 and 8.33 % of
the observation group 2, the difference between them have statistically significant; the difference between observation group 1
with observation group 2 have statistically significant; In the amout of bleeding, we can find out that the three groups at the time
of in the process of operation, 2 hours after the operation and 24 hours after the operation, observation group 3 is obvious lower
than group 1 and 2, the difference between them have statistically significant; But at the time of in the process of operation, the
difference between observation group 1 with observation group 2 have no statistically significant; But at the time of 2 hours after
the operation and 24 hours after the operation, the difference between observation group 1 with observation group 2 have nstatistically
significant. Conclusion Using misoprostol combine with oxytocin to control postpartum hemorrhage in the operation of
cesarean delivery, have very good clnical effect, it was worth to be fruther promoted and applied in clinic.