国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
22期
2738-2740
,共3页
子宫按摩%产后出血%高危因素妊娠
子宮按摩%產後齣血%高危因素妊娠
자궁안마%산후출혈%고위인소임신
Uterine massage%Postpartum hemorrhage%High risk pregnancy
目的 探讨高危因素剖宫产术后子宫按摩对预防产后出血的效果.方法 选择剖宫产术后有子宫收缩乏力出血高危因素的产妇400例,随机分成观察组、对照组各200例.两组产妇均静脉滴注缩宫素,观察组产后2小时内每隔15分钟间歇按摩子宫1次,每次按压时间均以子宫恢复正常收缩,并能保护收缩状态,阴道流血减少为止.对照组按剖宫产术后2小时内每30分钟巡视检查子宫收缩和阴道出血情况.观察两组术后24h内出血量以及产后出血发生率的差异.结果 观察组的产后出血发病率明显低于对照组,24h出血量为(320±25)ml,对照组为(465±23)ml;对照组发生产后出血的主要原因为宫缩乏力,占产后出血的77.78%,其次为胎盘因素为22.22%.结论 子官按摩加静脉滴注催产素对于控制高危妊娠产后出血以及减少产后出血量的效果明显,方法简单、安全,能有效促进产妇健康恢复.
目的 探討高危因素剖宮產術後子宮按摩對預防產後齣血的效果.方法 選擇剖宮產術後有子宮收縮乏力齣血高危因素的產婦400例,隨機分成觀察組、對照組各200例.兩組產婦均靜脈滴註縮宮素,觀察組產後2小時內每隔15分鐘間歇按摩子宮1次,每次按壓時間均以子宮恢複正常收縮,併能保護收縮狀態,陰道流血減少為止.對照組按剖宮產術後2小時內每30分鐘巡視檢查子宮收縮和陰道齣血情況.觀察兩組術後24h內齣血量以及產後齣血髮生率的差異.結果 觀察組的產後齣血髮病率明顯低于對照組,24h齣血量為(320±25)ml,對照組為(465±23)ml;對照組髮生產後齣血的主要原因為宮縮乏力,佔產後齣血的77.78%,其次為胎盤因素為22.22%.結論 子官按摩加靜脈滴註催產素對于控製高危妊娠產後齣血以及減少產後齣血量的效果明顯,方法簡單、安全,能有效促進產婦健康恢複.
목적 탐토고위인소부궁산술후자궁안마대예방산후출혈적효과.방법 선택부궁산술후유자궁수축핍력출혈고위인소적산부400례,수궤분성관찰조、대조조각200례.량조산부균정맥적주축궁소,관찰조산후2소시내매격15분종간헐안마자궁1차,매차안압시간균이자궁회복정상수축,병능보호수축상태,음도류혈감소위지.대조조안부궁산술후2소시내매30분종순시검사자궁수축화음도출혈정황.관찰량조술후24h내출혈량이급산후출혈발생솔적차이.결과 관찰조적산후출혈발병솔명현저우대조조,24h출혈량위(320±25)ml,대조조위(465±23)ml;대조조발생산후출혈적주요원인위궁축핍력,점산후출혈적77.78%,기차위태반인소위22.22%.결론 자관안마가정맥적주최산소대우공제고위임신산후출혈이급감소산후출혈량적효과명현,방법간단、안전,능유효촉진산부건강회복.
Objective To observe the effect of lowing postpartum hemorrhage after cesarean section by uterine massage in high risk pregnant women.Methods 400 pregnant women with high risk of postpartum hemorrhage including uterine inertia after cesarean section were randomly divided into control group and observation group (200 case for each group).After baby delivery, they all received oxytocin by intravenous injection. Uterine massage was used in the observation group every 15 minutes within 2 hours after cesarean section, and the massage was given until the uterine contraction returned to normal and preserved to decrease vaginal bleeding. While only checking and recording the information of uterine contraction and vaginal bleeding in the control group every 30 minutes in 2 hours after cesarean section expect for giving oxytocin. The incidence and volume of the postpartum hemorrhage in two groups were obtained in 24 hours after cesarean section.Results The incidence and volume of the postpartum hemorrhage were significantly lower in observation group than that in control group. Conclusion It is markedly effective to control the incidence and volume of the postpartum hemorrhage by uterine massage and intravenous injection oxytocin after cesarean section in high risk pregnant women, which is simple and safe to promote recovery of the pregnant women.
