健康之路
健康之路
건강지로
HEALTH
2014年
1期
98-98
,共1页
孕妇%产后出血%剖宫产%干预
孕婦%產後齣血%剖宮產%榦預
잉부%산후출혈%부궁산%간예
Pregnant woman%Postpartum hemorrhage%Cesarean section%Intervention
目的：探讨早期综合干预对有产后出血高危因素的孕妇在剖宫产术中及术后出血的影响.方法：选取湖北省咸宁市第一人民医院2013年6月~2013年11月具有产后出血高危因素并行剖宫产的产妇175例,随机分成对照组(85例)和干预组(90例).对照组采取常规治疗方法,即在胎儿娩出后静脉滴注缩宫素10U,有产后出血表现时立即舌下含服卡孕栓2mg；干预组采取早期综合干预治疗,即在术前静脉推注10％葡萄糖酸钙10mL,入腹腔后立即舌下含服卡孕栓2mg,胎头娩出后立即静脉滴注缩宫素10U,胎儿断脐后马上进行宫体按摩.比较两组产妇术中及术后24h 出血量.结果：对照组、干预组产妇术中出血量分别为471±64mL、220±55mL,而术后24h出血量分别为214±66mL、180±45mL,干预组术中及术后24h出血量显著少于对照组(t＝27．87,P＜0．01；t＝4．00,P＝0．01).结论：早期综合干预可减少有产后出血高危因素的剖宫产孕妇术中及术后24h出血量.
目的：探討早期綜閤榦預對有產後齣血高危因素的孕婦在剖宮產術中及術後齣血的影響.方法：選取湖北省鹹寧市第一人民醫院2013年6月~2013年11月具有產後齣血高危因素併行剖宮產的產婦175例,隨機分成對照組(85例)和榦預組(90例).對照組採取常規治療方法,即在胎兒娩齣後靜脈滴註縮宮素10U,有產後齣血錶現時立即舌下含服卡孕栓2mg；榦預組採取早期綜閤榦預治療,即在術前靜脈推註10％葡萄糖痠鈣10mL,入腹腔後立即舌下含服卡孕栓2mg,胎頭娩齣後立即靜脈滴註縮宮素10U,胎兒斷臍後馬上進行宮體按摩.比較兩組產婦術中及術後24h 齣血量.結果：對照組、榦預組產婦術中齣血量分彆為471±64mL、220±55mL,而術後24h齣血量分彆為214±66mL、180±45mL,榦預組術中及術後24h齣血量顯著少于對照組(t＝27．87,P＜0．01；t＝4．00,P＝0．01).結論：早期綜閤榦預可減少有產後齣血高危因素的剖宮產孕婦術中及術後24h齣血量.
목적：탐토조기종합간예대유산후출혈고위인소적잉부재부궁산술중급술후출혈적영향.방법：선취호북성함저시제일인민의원2013년6월~2013년11월구유산후출혈고위인소병행부궁산적산부175례,수궤분성대조조(85례)화간예조(90례).대조조채취상규치료방법,즉재태인면출후정맥적주축궁소10U,유산후출혈표현시립즉설하함복잡잉전2mg；간예조채취조기종합간예치료,즉재술전정맥추주10％포도당산개10mL,입복강후립즉설하함복잡잉전2mg,태두면출후립즉정맥적주축궁소10U,태인단제후마상진행궁체안마.비교량조산부술중급술후24h 출혈량.결과：대조조、간예조산부술중출혈량분별위471±64mL、220±55mL,이술후24h출혈량분별위214±66mL、180±45mL,간예조술중급술후24h출혈량현저소우대조조(t＝27．87,P＜0．01；t＝4．00,P＝0．01).결론：조기종합간예가감소유산후출혈고위인소적부궁산잉부술중급술후24h출혈량.
Objective:To investigate the effect of early comprehensive intervention on intraoperative and postoperative hemorrhage in cesarean gravidae with postpartum hemorrhage risks.Methods:A total of 175 cesarean gravidae with postpartum hemorrhage risks were selected between June 2013 to December 2013,and randomly divided into control group(n=85)and intervention group(n=90).The control group received the conventional treatments:intravenous drip of 10 U oxytocin after fetal childbirth and sublingual administration of 2mg carboprost on the onset of postpartum hemorrhage.However,the intervention group accepted the early comprehensive interventions:(1)intravenous injection of 10 mL of 10% calcium gluconate before operation;(2)sublingual administration of 2 mg carboprost during the opening of the abdominal cavity;(3)intravenous drip of 10 U oxytocin immediately after the delivery of fetal head;and(4)uterine massage after the omphalotomy of neonates.The intraoperative and 24 h postoperative bleeding volume was compared between the two groups.Result:The effect of early comprehensive intervention on intraoperative and postoperative hemorG rhage in cesarean gravidae.The amounts of intraoperative and 24 h postoperative bleeding were 471±64 mL and 214±66 mL in the control group and 220±55 mL and 180 ±45 mL in the intervention group,and there were significant differences between both groups(t=27.87,P<0.01;t=4.00,P=0.01).Conclusion:The early comprehensive intervention can reduce intraoperative and 24 h postoperative bleeding loss in cesarean pregnant women with postpartum hemorrhage risks.
