中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
4期
87-90
,共4页
剖宫产%术中出血%目测法%联合称重法%羊水血细胞比容法%原因
剖宮產%術中齣血%目測法%聯閤稱重法%羊水血細胞比容法%原因
부궁산%술중출혈%목측법%연합칭중법%양수혈세포비용법%원인
Cesarean sections%Postpartum hemorrhage%Visual method%Weighty method%Cause
目的：比较两种方法对评价剖宫产术中出血量的准确性，分析术后出血发生率及影响术中出血量的主要因素。方法：将本院需施剖宫产手术的产妇为研究对象，随机分为试验组和对照组。试验组采用联合称重、羊水血细胞比容（HCT）换算法评估剖宫产术中出血量；对照组采用目测法评估剖宫产术中出血量，同时测定产前和产后6h 血红蛋白浓度、血细胞比容和血小板数量，比较两种方法估值的准确性，并分析引起出血的因素。结果：试验组产妇术中出血量为（486.18±276.35）mL，对照组产妇术中出血量为（285.23±147.04）mL，两者比较具有显著性差异（P ＜0.01）；试验组和对照组术后6h 血红蛋白浓度、血细胞比容较产前有所下降，两者比较具有统计学差异（P ＜0.01），血小板数量比较无统计学差异（P ＞0.05）；试验组和对照组剖宫产产后出血发生率为41.0％和9.0％。出血原因统计结果显示子宫收缩乏力是子宫术中出血的主要原因，占总人数的63.50％。结论：目测法对评价剖宫产术中出血量具主观性和一定的误差，而联合称重法、羊水血细胞比容（HCT）换算法比目测法具有客观性和正确性。子宫收缩乏力是剖宫产产中出血的主要原因。
目的：比較兩種方法對評價剖宮產術中齣血量的準確性，分析術後齣血髮生率及影響術中齣血量的主要因素。方法：將本院需施剖宮產手術的產婦為研究對象，隨機分為試驗組和對照組。試驗組採用聯閤稱重、羊水血細胞比容（HCT）換算法評估剖宮產術中齣血量；對照組採用目測法評估剖宮產術中齣血量，同時測定產前和產後6h 血紅蛋白濃度、血細胞比容和血小闆數量，比較兩種方法估值的準確性，併分析引起齣血的因素。結果：試驗組產婦術中齣血量為（486.18±276.35）mL，對照組產婦術中齣血量為（285.23±147.04）mL，兩者比較具有顯著性差異（P ＜0.01）；試驗組和對照組術後6h 血紅蛋白濃度、血細胞比容較產前有所下降，兩者比較具有統計學差異（P ＜0.01），血小闆數量比較無統計學差異（P ＞0.05）；試驗組和對照組剖宮產產後齣血髮生率為41.0％和9.0％。齣血原因統計結果顯示子宮收縮乏力是子宮術中齣血的主要原因，佔總人數的63.50％。結論：目測法對評價剖宮產術中齣血量具主觀性和一定的誤差，而聯閤稱重法、羊水血細胞比容（HCT）換算法比目測法具有客觀性和正確性。子宮收縮乏力是剖宮產產中齣血的主要原因。
목적：비교량충방법대평개부궁산술중출혈량적준학성，분석술후출혈발생솔급영향술중출혈량적주요인소。방법：장본원수시부궁산수술적산부위연구대상，수궤분위시험조화대조조。시험조채용연합칭중、양수혈세포비용（HCT）환산법평고부궁산술중출혈량；대조조채용목측법평고부궁산술중출혈량，동시측정산전화산후6h 혈홍단백농도、혈세포비용화혈소판수량，비교량충방법고치적준학성，병분석인기출혈적인소。결과：시험조산부술중출혈량위（486.18±276.35）mL，대조조산부술중출혈량위（285.23±147.04）mL，량자비교구유현저성차이（P ＜0.01）；시험조화대조조술후6h 혈홍단백농도、혈세포비용교산전유소하강，량자비교구유통계학차이（P ＜0.01），혈소판수량비교무통계학차이（P ＞0.05）；시험조화대조조부궁산산후출혈발생솔위41.0％화9.0％。출혈원인통계결과현시자궁수축핍력시자궁술중출혈적주요원인，점총인수적63.50％。결론：목측법대평개부궁산술중출혈량구주관성화일정적오차，이연합칭중법、양수혈세포비용（HCT）환산법비목측법구유객관성화정학성。자궁수축핍력시부궁산산중출혈적주요원인。
Objectives:To estimate and compare the amount of postpartum hemorrhage of cesarean accu-rately by weighty method and visual method and analyze its occurrence rate and main causes.Method:200 mater-nal patients of cesarean were randomly divided into experimental and control group,weighty method was used to esti-mate the postpartum hemorrhage of experimental group and visual method was used to estimate the postpartum hem-orrhage of control group.Hemoglobin (Hb)and hematocrit (HCT)were detected at antepartum and postpartum, and the factors that caused postpartum hemorrhage were analyzed.Results:The average amount of postpartum hem-orrhage of experimental group was 486.18 ±276.35mL,and the average amount of postpartum hemorrhage of control group was 285.23 ±147.04.There were significant differences between the two groups.There was significant differ-ences in Hb and HCT between the experimental group and control group (P <0.01).There was no difference in blood platelet between the two groups (P >0.05).The incidence rate of postpartum hemorrhage of experimental and control group were 41.0% and 9.0%.Statistical results of causes of postpartum hemorrhage showed that uterine in-ertia was the main cause of uterine bleeding,63.50% of the total.Conclusion:Visual method of postpartum hem-orrhage of cesarean is more subjective.Weighty method is more objective,and it is the better way to estimate post-partum hemorrhage of cesarean.Uterine inertia is the main reason for postpartum hemorrhag.
