可充气加压式子宫帽的制作与应用

发布时间：2018-05-27 18:56

本文选题：剖宫产术 + 产后出血　；参考：《中国全科医学》2015年09期

【摘要】：目的介绍一种可充气加压式子宫帽,分析其在剖宫产术中产后出血的应用价值。方法选取2012年7月—2014年5月于顺德龙江医院妇产科住院并在剖宫产术中发生产后出血的患者124例,采用简单随机化法分为治疗组(62例)和对照组(62例)。治疗组患者应用可充气加压式子宫帽止血,对照组患者应用药物(卡前列素氨丁三醇注射液、米索前列醇、卡前列甲酯栓等)止血。评价两组患者产后24 h出血量、输血情况(输血例数、输血量)、住院时间、术后病率、术后抗生素使用时间、血性恶露时间。结果治疗组和对照组止血有效率分别为100.0%(62/62)、90.3%(56/62),差异有统计学意义(χ2=4.379,P=0.036)。治疗组患者产后24 h出血量、输血例数、术后病率低于对照组(P0.05)。两组患者输血量、住院时间、术后抗生素使用时间、血性恶露时间比较,差异无统计学意义(P0.05)。结论可充气加压式子宫帽操作简单,见效快,止血效果好,建议可作为剖宫产术中产后出血一线药物治疗后的首选治疗方法,尤其适用于宫缩乏力性产后出血。
[Abstract]:Objective to introduce an inflatable pressurized uterine cap and to analyze its application value in postpartum hemorrhage during cesarean section. Methods 124 cases of postpartum hemorrhage occurred during cesarean section in Longjiang Hospital of Shunde from July 2012 to May 2014 were randomly divided into treatment group (n = 62) and control group (n = 62). The patients in the treatment group were treated with inflatable pressurized uterine cap for hemostasis, while the patients in the control group were treated with drugs (carprostin-aminotriol injection, misoprostol, carboprost methyl ester suppository, etc.). To evaluate the amount of blood loss, blood transfusion (blood transfusion cases, blood transfusion volume, hospitalization time, postoperative disease rate, postoperative antibiotic use time, time of bleeding lochia) in the two groups. Results the effective rate of hemostasis in the treatment group and the control group was 100.0% and 90.3% respectively. The difference was statistically significant (蠂 ~ 2 / 4.379). In the treatment group, the amount of blood loss and blood transfusion at 24 hours postpartum were lower than those in the control group (P 0.05). There was no significant difference between the two groups in blood transfusion, hospitalization time, postoperative antibiotic use time and bleeding lochia time (P 0.05). Conclusion the pneumatic pressurized uterine cap is simple, effective and effective. It is suggested that it can be used as the first choice for the treatment of postpartum hemorrhage during cesarean section, especially for postpartum hemorrhage due to uterine inertia.
【作者单位】：顺德龙江医院妇产科;
【基金】：佛山市医学类科技攻关项目(201208224);专利号:ZL201320791667.9
【分类号】：R714.461

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