摘要
目的探究子宫血管结扎预防高危患者产后出血的效果。方法选取2016年1月~2017年9月期间高危产妇68例作为研究对象,回顾其临床资料,按照产后出血预防方法不同进行分组,对照组34例发生异常出血时再缝扎双侧子宫动脉,观察组34例在胎盘剥离前缝扎双侧子宫动脉,观察两组产后2h出血量、产后24 h出血量等指标。结果两组在产后2h出血量、产后24h出血量等指标对比差异有统计学意义(P<0.05)。其中,观察组产后24 h出血量(364.76±22.75)m L,对照组(543.64±20.65)m L,差异有统计学意义(P<0.05)。观察组输血率为2/94%(1/34),对照组17.65%(6/34),对比差异有统计学意义(P<0.05)。结论在胎盘剥离前缝扎子宫动脉,可有效减少产后2h出血量、产后24h出血量,降低输血率,有效预防产后出血,具有较高的应用价值。
Objective To investigate the effect of uterine vascular ligation to prevent postpartum hemorrhage in high-risk patients. Methods During the period from January 2016 to September 2017,68 cases of high-risk women were selected as research subjects.Their clinical data were reviewed.According to different prevention methods of postpartum hemorrhage,they were divided into 2 groups.In the case of abnormal bleeding the control group was ligated the bilateral uterine artery.The observation group was ligated the bilateral uterine artery before the placental stripping.The postpartum 2 h bleeding volume and postpartum 24 h bleeding volume were observed. Results There were significant differences in the postpartum 2 h bleeding volume and postpartum 24 h bleeding volume between the two groups（P 0.05）.The postpartum 24 h bleeding volume in the observation group was（364.76±22.75） m L,that of the control group was（543.64±20.65） m L,and the difference was statistically significant（P 0.05）.The rate of blood transfusion in the observation group was 2.94%（1/34）,that of the control group was 17.65%（6/34）,and the difference was statistically significant（P 0.05）. Conclusion Before the placenta dissection,ligated the uterine artery can effectively reduce the postpartum 2 h bleeding volume,postpartum 24 h bleeding volume and the rate of blood transfusion,and effectively prevent postpartum hemorrhage,so it has high application value.
作者
王宋辉
曾丽萍
刘三连
蒋荣英
WANG Songhui;ZENG Liping;LIU Sanlian;JIANG Rongying(Zhongshan Guzhen People＇ s Hospital,Zhongshan 528421,China)
出处
《中国医药科学》
2018年第8期79-81,93,共4页
China Medicine And Pharmacy
关键词
子宫血管结扎
高危患者
产后出血
输血
Uterine vascular ligation
High-risk patients
Postpartum hemorrhage
Blood transfusion
