摘要
目的探讨限制性输液对产后出血(postpartum hemorrhage,PPH)患者家庭经济负担和患者术后生活质量的影响。方法选取2013年3月至2015年3月宝鸡市妇幼保健院剖宫产产妇中符合PPH诊断标准且需接受输入血液制品的287例产妇,按照随机数字表法将其分为限制输液组(148例)和常规输液组(139例),比较两组患者出血量、输入血制品数量及种类、总住院费用及其构成、手术时间、住院时间、家属误工时间等,通过SF-36量表评估患者术后1月在生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康八个维度的差异。结果限制输液组产妇出血总量低于常规输液组(P<0.05),血液制品的用量和种类少于常规输液组(P<0.05),从输液总费用、输入血液制品费用、抗生素费用和护理费用等方面降低了住院总费用(P<0.05),减少了手术时间、住院时间和家属误工时间(P<0.05),增加了生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康等八个维度的评分(P<0.05)。结论限制性输液可减少产后出血患者出血和输血量,减少患者及家庭住院期间人力和物力支出,同时提高患者术后生活质量。
Objective To investigate the effect of limited fluid resuscitation on quality of life and the hospitalized cost of patients with postpartum hemorrhage. Methods Clinical data of 287 pregnant women who should have blood transfusions because of postpartum hemorrhage after casarean section in Baoji Maternal and Child Care Service Centre from March 2013 to March 2015 were retrospectively analyzed,and they were divided into limited fluid resuscitation group（ with 148 cases） and regular resuscitation group（ with 139 cases）. Blood loss,RBC,PLT and FFP transfusion of two groups were gathered to evaluate coagulation function. The information of RBC,PLT and FFP transfusion,hospitalization cost,time of operation and scores of SF- 36 one month after operation of two groups were compared. Results The blood loss,amount and type of blood products in limited fluid resuscitation group were less than those of regular resuscitation group（ P〈0. 05）. Blood loss,RBC,PLT,FFP transfusion,hospitalized cost,time of operation were all reduced by the treatment of limited fluid resuscitation（ P〈0. 05）. Scores of SF- 36 were increased by the treatment of limited fluid resuscitation（ P〈0. 05）. Conclusion The treatment of limited fluid resuscitation can improve the life quality and reduce the cost of patients with postpartum hemorrhage.
出处
《中国计划生育和妇产科》
2016年第3期13-16,共4页
Chinese Journal of Family Planning & Gynecotokology
基金
宝鸡市2013年科学技术研究发展计划项目(项目编号:13SF4-2)
关键词
限制性输液
产后出血
经济负担
人力成本
生活质量
limited fluid resuscitation
postpartum hemorrhage
economical burden
human cost
quality of life
