摘要
目的研究院前急救管理措施在输卵管妊娠合并大出血产妇中的应用及对再次生育能力的影响,为提高急危重疾病或受到意外伤害的患者抢救减功率提供参考。方法选取2016年阳泉市紧急医疗救援中心接诊救治的57例输卵管妊娠合并大出血产妇为对照组,2017年1-6月接诊救治的57例为研究组。对照组产妇接受常规的院前管理,研究组产妇在对照组管理基础上加强院前急救管理措施。观察并对比两组出车反应时间、途中时间及产妇出血量、输卵管通畅情况、生育能力。结果研究组出车反应时间、途中时间、产妇出血量均少于对照组,差异有统计学意义(P<0.05);研究组产妇输卵管通畅率高于对照组,差异有统计学意义(P<0.05);研究组产妇产后2 h、12 h、24 h出血量均低于对照组,差异有统计学意义(P<0.05);研究组再次生育能力优于对照组,差异有统计学意义(P<0.05)。结论院前急救管理措施在输卵管妊娠合并大出血产妇中的应用效果显著,能快速给予产妇有效急救,减少出血量,提高产妇输卵管通畅率及再次生育能力,值得临床推广。
Objective To research the application of pre-hospital emergency management measures in tubal pregnancy complicated with massive hemorrhage and the influence on ability of subsequent pregnancy,provide a reference for improving the successful rate of rescue of patients with acute and critical diseases and accidental injury. Methods In 2016,57 patients with tubal pregnancy complicated with massive hemorrhage diagnosed and treated in Yangquan Emergency Medical Rescue Center were selected as control group,and 57 patients with tubal pregnancy complicated with massive hemorrhage diagnosed and treated in the center from January to June in 2017 were selected as study group. The patients in control group were given routine pre-hospital management,and the patients in study group were given pre-hospital emergency management measures based on routine pre-hospital management. The reaction time and the time on the way of emergency ambulance,the amounts of hemorrhage,tubal patency,fertility were observed and compared. Results The reaction time and the time on the way of emergency ambulance,the amount of hemorrhage in study group were statistically significantly less than those in control group（ P〈0. 05）.Tubal patency rate in study group was statistically significantly higher than that in control group（ P〈0. 05）. The amounts of hemorrhage at2,12,and 24 hours after delivery in study group were statistically significantly less than those in control group（ P〈0. 05）. The ability of subsequent pregnancy in study group was statistically significantly better than that in control group（ P〈0. 05）. Conclusion The application effect of pre-hospital emergency management measures is significant in tubal pregnancy complicated with massive hemorrhage,the management measures can give maternal effective first-aid,reduce the amount of bleeding quickly,improve tubal patency rate and capacity of subsequent pregnancy,which is worthy of clinical promotion.
作者
史雅琴
SHI Ya-Qin(Emergency Department,Yangquan Emergency Medical Rescue Center,Yangquan,Shanxi 045000,China)
出处
《中国妇幼保健》
CAS
2018年第20期4713-4715,共3页
Maternal and Child Health Care of China
关键词
院前急救管理措施
输卵管妊娠
产后出血
Pre-hospital emergency management measure
Tubal pregnancy
Postpartum hemorrhage
