临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
20期
1706-1708
,共3页
产后出血%子宫动脉下行支结扎术%止血
產後齣血%子宮動脈下行支結扎術%止血
산후출혈%자궁동맥하행지결찰술%지혈
Postpartum hemorrhage%Uterine artery ligation descending branch%Bleeding
目的：探讨子宫动脉下行支结扎术在治疗产后出血中的临床价值。方法回顾性分析2011年5月至2013年4月收治的10000例住院分娩孕妇的临床资料，其中有100例孕妇宫缩乏力产后出血，将其随机分为两组，各50例，观察组行子宫动脉下行支结扎及宫旁血管钳夹术治疗，对照组行单纯宫缩剂治疗，对比两组出血情况以及不良反应。结果观察组患者2 h出血量、24 h总出血量均明显比对照组患者少，总出血量在1000 ml及以上的患病率明显比对照组患者低，差异均具有统计学意义（ P <0.05）；观察组患者的止血时间明显比对照组短，差异具有统计学意义（ P<0.05）；观察组和对照组患者术后不良反应发生率分别为2%和12%，观察组患者术后不良反应发生率明显比对照组患者低，差异具有统计学意义（ P <0.05）。结论在产后出血的治疗中，子宫动脉下行支结扎术安全有效，具有较高的临床应用价值。
目的：探討子宮動脈下行支結扎術在治療產後齣血中的臨床價值。方法迴顧性分析2011年5月至2013年4月收治的10000例住院分娩孕婦的臨床資料，其中有100例孕婦宮縮乏力產後齣血，將其隨機分為兩組，各50例，觀察組行子宮動脈下行支結扎及宮徬血管鉗夾術治療，對照組行單純宮縮劑治療，對比兩組齣血情況以及不良反應。結果觀察組患者2 h齣血量、24 h總齣血量均明顯比對照組患者少，總齣血量在1000 ml及以上的患病率明顯比對照組患者低，差異均具有統計學意義（ P <0.05）；觀察組患者的止血時間明顯比對照組短，差異具有統計學意義（ P<0.05）；觀察組和對照組患者術後不良反應髮生率分彆為2%和12%，觀察組患者術後不良反應髮生率明顯比對照組患者低，差異具有統計學意義（ P <0.05）。結論在產後齣血的治療中，子宮動脈下行支結扎術安全有效，具有較高的臨床應用價值。
목적：탐토자궁동맥하행지결찰술재치료산후출혈중적림상개치。방법회고성분석2011년5월지2013년4월수치적10000례주원분면잉부적림상자료，기중유100례잉부궁축핍력산후출혈，장기수궤분위량조，각50례，관찰조행자궁동맥하행지결찰급궁방혈관겸협술치료，대조조행단순궁축제치료，대비량조출혈정황이급불량반응。결과관찰조환자2 h출혈량、24 h총출혈량균명현비대조조환자소，총출혈량재1000 ml급이상적환병솔명현비대조조환자저，차이균구유통계학의의（ P <0.05）；관찰조환자적지혈시간명현비대조조단，차이구유통계학의의（ P<0.05）；관찰조화대조조환자술후불량반응발생솔분별위2%화12%，관찰조환자술후불량반응발생솔명현비대조조환자저，차이구유통계학의의（ P <0.05）。결론재산후출혈적치료중，자궁동맥하행지결찰술안전유효，구유교고적림상응용개치。
Objective To investigate the clinical value of the downstream branch of uterine artery ligation in the treatment of postpartum hemorrhage. Methods 10,000 cases of pregnant women who had given birth in our hospital from May 2011 to April 2013 were selected,of which 100 cases of pregnant were uterine atony postpartum hemorrhage ,they were divided randomly into two groups ,each had 50 cases. The observa-tion group were given uterine artery ligation and downstream treatment of uterine vascular clamp,the control group were given simple contractions therapy ,then the bleeding and adverse reactions of the two groups were compared. Results The 2 h ,24 h total bleeding of the observation group were significantly less,the total amount of bleeding in 1000 ml and prevalence was significantly lower,the differences were statistically sig-nificant( P <0. 05);the bleeding time was significantly shorter,the difference was statistically significant( P <0. 05);The adverse reactions incidence rates of the observation group and control group patients were 2%and12%,respectively,The adverse reactions incidence rate was signif-icantly lower in patients than those of the control group,the difference was statistically significant( P <0. 05). Conclusion In the treatment of postpartum hemorrhage,uterine artery ligation downstream branch is safe and effective ,it has high clinical value.
