宫颈钳夹术治疗宫缩乏力性产后出血患者的效果观察及护理  

Clinical observation and nursing of cervix clamping treatment of postpartum hemorrhage caused by uterine inertia

作　　者：季平[1] 吴春梅[1] 石月莲[1] 王丽娜[1] 

机构地区：[1]珠海市妇幼保健院产科,广东珠海519000

出　　处：《现代临床护理》2008年第7期8-9,共2页Modern Clinical Nursing

摘　　要：目的观察宫颈钳夹术治疗宫缩乏力性产后出血患者的治疗效果和总结护理经验。方法选择90例宫缩乏力性产后出血的产妇为研究对象,将常规使用缩宫素、米索前列醇等方法的基础上再使用宫颈钳夹术的47例为观察组,使用缩宫素、米索前列醇方法治疗的43例为对照组,比较两组治疗的效果。结果两组治疗效果比较,χ2=12.45,P<0.01,差异有统计学意义。结论宫颈钳夹术是治疗和预防宫缩乏力性产后出血的有效方法;做好宫颈钳夹术的术前护理和病情观察,严格掌握钳夹时间对提高宫颈钳夹术的治疗效果具有积极的意义。Objective To investigate the efficacy and nursing experience of treatment for postpartum hemorrhage caused by uterine inertia with cervix clamping. Methods A total of 90 puerperant with postpartum bleeding caused by uterine inertia were chosen as the research subject. 47 cases in the observation group were treated with cervical clamp combined with misoprostol and oxytocin therapy, and 43 cases in the control group were treated only with misoprostol and oxytocin. The continuous hemorrhage after treatment was compared between the two groups. Result The amount of continuous bleeding in the observer group was obviously less than that in the control group, and the difference was statistically significant （X2 = 12. 45, P 〈 0. 01 ）. Conclusions Clamping cervix with cervical clamp is an effective method to prevent and treat postpartum hemorrhage caused by uterine inertia. Preoperative nursing of cervix clamping, strict control of clamp time and postoperative observation of patients have positive significance to improve the treatment effficacy.

关 键 词：产后出血 宫颈钳夹 护理 

分 类 号：R473.71[医药卫生—护理学]