摘要
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10 000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1 000 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。
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.
出处
《临床和实验医学杂志》
2014年第20期1706-1708,共3页
Journal of Clinical and Experimental Medicine
关键词
产后出血
子宫动脉下行支结扎术
止血
Postpartum hemorrhage
Uterine artery ligation descending branch
Bleeding
