多功能气囊腹压带助产仪助产及预防产后出血应用研究

发布时间：2018-06-14 11:55

本文选题：多功能气囊腹压带 + 助产　；参考：《中国实用妇科与产科杂志》2015年04期

【摘要】：目的探讨多功能气囊腹压带在助产和预防产后出血中的作用。方法选择2014年4至9月在广东省妇幼保健院住院的初产、单胎、足月、头位、胎方位正常阴式分娩产妇100例,随机分为2组,第二、三产程中使用多功能气囊腹压带的50例为观察组,未使用的50例为对照组,观察两组产妇及胎儿的分娩结局。结果观察组平均第二产程时间、胎头拨露至胎头娩出时间、胎盘娩出时间及产后出血量明显较对照组短(P0.05)。两组产妇会阴侧切率、产后2 h内体征和新生儿Apgar评分、出生时脐血血气分析结果比较,差异无统计学意义(P0.05)。并且第二产程中观察组产妇在不同囊内压时的体征及胎心变化差异亦无统计学意义(P0.05)。结论多功能气囊腹压带通过严密监测,适时合理调节囊内压力,可安全加快第二、第三产程进展,预防产后出血,促进自然分娩。
[Abstract]:Objective to investigate the role of multi-function balloon abdominal pressure band in midwifery and prevention of postpartum hemorrhage. Methods from April to September 2014, 100 pregnant women who were hospitalized in Guangdong Maternal and Child Health Hospital from April to September 2014 were randomly divided into 2 groups. In the third stage of labor, 50 cases of multifunctional balloon abdominal pressure band were used as observation group and 50 cases of non-use as control group. The outcome of parturition of parturient and fetus was observed in both groups. Results the mean time of the second stage of labor, the time of fetal head exposure to fetal head delivery, the time of placental delivery and the amount of postpartum hemorrhage in the observation group were significantly shorter than those in the control group (P 0.05). There was no significant difference between the two groups in perineal resection rate, physical signs within 2 hours postpartum and neonatal Apgar score, and the results of umbilical blood gas analysis at birth. There was no significant difference between the two groups (P 0.05). There was no significant difference in physical signs and fetal heart changes between the observation group and the observation group during the second stage of labor (P 0.05). Conclusion the multifunctional balloon abdominal pressure band can be used to regulate the intravesical pressure through close monitoring, which can safely accelerate the progress of the second and third stages of labor, prevent postpartum hemorrhage and promote natural delivery.
【作者单位】：广东省妇幼保健院;
【分类号】：R714.461

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