摘要
目的探讨防治剖宫产术致宫缩乏力性大出血的有效方法。方法选择2003年1月1日～2005年6月1日在该院住院分娩且具有产后宫缩乏力性大出血高危因素及剖宫产指征的孕产妇396例,随机分为高危积极防治组(观察组)及高危常规治疗组(对照组),进行临床对照观察。结果观察组术中出血、术后2h累计出血及产后宫缩乏力性大出血发生情况明显低于对照组(P<0.001;P<0.01),且观察组产后24h内血红蛋白(HB)下降明显低于对照组(P<0.001)有显著性及非常显著性差异。结论对有宫缩乏力性大出血的剖宫产高危孕产妇采取术前用药预防及术中积极处理相结合能有效防治产后大出血的发生,值得推广。
[Objective] To explore the effective way of prevention of massive hemorrhage which caused by early stage fatigue of uterus shrinking after cesarean section. [Methods] Choosing 396 cases women who lived and birthed children in our hospital from Jan. 1st to Jun 1st, 2003, and who were in high danger of massive hemorrhage caused by fatigue of uterus shrinking after operation and who had also been identified of cesarean. Classifying the cases into two groups： high danger active preventing group （Observation Group） and high danger normal treating group （Contrast Group）. Then having clinical observation. [Result ] The occurrence of hemorrhage during operation 2 h and massive hemorrhage caused by fatigue of uterus shrinking after operation of observation group are all obviously lower than contrast group （P 〈0.001; P 〈0.01）. Meanwhile, the fall of HB after operation 24 h of the observation group is obviously lower than contrast group （P 〈0.01）. And it has obvious and remarkable difference. [Conclusion] In regard to the women who are in high danger of massive hemorrhage caused by fatigue of uterus shrinking after operation, if we combine the method of using medicine to prevent before operation and active management during operation, the massive hemorrhage after operation can be effectively prevented. It is a good way which worth is popularzing.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第23期3627-3629,3632,共4页
China Journal of Modern Medicine
关键词
剖宫产
宫缩乏力
大出血防治
cesarean
fatigue of uterus shrinking
massive hemorrhage
prevention
