發(fā)布時間：2018-05-27 18:56

  本文選題：剖宮產(chǎn)術(shù) + 產(chǎn)后出血　； 參考：《中國全科醫(yī)學(xué)》2015年09期

【摘要】：目的介紹一種可充氣加壓式子宮帽,分析其在剖宮產(chǎn)術(shù)中產(chǎn)后出血的應(yīng)用價值。方法選取2012年7月—2014年5月于順德龍江醫(yī)院婦產(chǎn)科住院并在剖宮產(chǎn)術(shù)中發(fā)生產(chǎn)后出血的患者124例,采用簡單隨機化法分為治療組(62例)和對照組(62例)。治療組患者應(yīng)用可充氣加壓式子宮帽止血,對照組患者應(yīng)用藥物(卡前列素氨丁三醇注射液、米索前列醇、卡前列甲酯栓等)止血。評價兩組患者產(chǎn)后24 h出血量、輸血情況(輸血例數(shù)、輸血量)、住院時間、術(shù)后病率、術(shù)后抗生素使用時間、血性惡露時間。結(jié)果治療組和對照組止血有效率分別為100.0%(62/62)、90.3%(56/62),差異有統(tǒng)計學(xué)意義(χ2=4.379,P=0.036)。治療組患者產(chǎn)后24 h出血量、輸血例數(shù)、術(shù)后病率低于對照組(P0.05)。兩組患者輸血量、住院時間、術(shù)后抗生素使用時間、血性惡露時間比較,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論可充氣加壓式子宮帽操作簡單,見效快,止血效果好,建議可作為剖宮產(chǎn)術(shù)中產(chǎn)后出血一線藥物治療后的首選治療方法,尤其適用于宮縮乏力性產(chǎn)后出血。
[Abstract]:Objective to introduce an inflatable pressurized uterine cap and to analyze its application value in postpartum hemorrhage during cesarean section. Methods 124 cases of postpartum hemorrhage occurred during cesarean section in Longjiang Hospital of Shunde from July 2012 to May 2014 were randomly divided into treatment group (n = 62) and control group (n = 62). The patients in the treatment group were treated with inflatable pressurized uterine cap for hemostasis, while the patients in the control group were treated with drugs (carprostin-aminotriol injection, misoprostol, carboprost methyl ester suppository, etc.). To evaluate the amount of blood loss, blood transfusion (blood transfusion cases, blood transfusion volume, hospitalization time, postoperative disease rate, postoperative antibiotic use time, time of bleeding lochia) in the two groups. Results the effective rate of hemostasis in the treatment group and the control group was 100.0% and 90.3% respectively. The difference was statistically significant (蠂 ~ 2 / 4.379). In the treatment group, the amount of blood loss and blood transfusion at 24 hours postpartum were lower than those in the control group (P 0.05). There was no significant difference between the two groups in blood transfusion, hospitalization time, postoperative antibiotic use time and bleeding lochia time (P 0.05). Conclusion the pneumatic pressurized uterine cap is simple, effective and effective. It is suggested that it can be used as the first choice for the treatment of postpartum hemorrhage during cesarean section, especially for postpartum hemorrhage due to uterine inertia.
【作者單位】： 順德龍江醫(yī)院婦產(chǎn)科;
【基金】：佛山市醫(yī)學(xué)類科技攻關(guān)項目(201208224);專利號:ZL201320791667.9
【分類號】：R714.461

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相關(guān)期刊論文 前3條

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本文編號：1943379