干纱垫擦拭宫腔对减少剖宫产术后宫腔出血的临床观察  

Clinical Observation on Reducing Uterine Bleeding After Cesarean Section by Wiping Uterine Cavity with Dry Gauze Pad

作　　者：韩爱芹 

机构地区：[1]江苏省扬州市江都区宜陵中心卫生院,江苏扬州225231

出　　处：《哈尔滨医药》2013年第5期348-349,共2页Harbin Medical Journal

摘　　要：目的探讨妊娠足月剖宫产术中采用干纱垫擦拭宫腔处理残留蜕膜、胎膜或胎盘组织以减少术后宫腔出血的方法。方法设观察组与对照组,将180例妊娠足月在本院施行剖宫产手术的产妇随机分成两组,且两组在年龄、孕产次、孕周及是否伴有高危因素等方面的差异比较均无统计学意义(P>0.05),观察组于术中胎盘娩出后用干纱垫擦拭宫腔四壁两遍;对照组于术中胎盘娩出后用生理盐水纱垫擦拭宫腔四壁两遍,观察两组阴道流血时间及持续时间。结果观察组阴道流血量及持续时间明显少于对照组,差异有统计学意义(P<0.01)。结论剖宫产术中运用干纱垫擦拭宫腔能有效减少宫腔出血,减少阴道流血,利于产妇产后康复。Objective To investigate the method of treating residual deciduas ,fetal membranes or placental tissues by wiping the uterine cavity with the dry gauze pad in the full - term pregnancy cesarean section in order to reduce postoperative uterine bleeding. Methods Observation group and control group, 180 cases of full term pregnancy in the same hospital caesarean operation were random- ly divided into two groups, and the two groups in age, parity,gestational weeks and whether differences associated with high -risk fac- tors such as the difference was not statistically significant （P 〉 0.05） ,the observation group in intraoperative placental expulsion with dry gauze pad to wipe the uterine wails two times ; the control group during operation after delivery of the placenta with saline gauze to wipe the uterine walls two times ,the two groups were observed and the duration of vaginal bleeding time. Results The amount of vaginal bleeding and duration was significantly less than that in the control group and the difference was statistically significant （ P 〈 0.01 ）. Conclusion Cesarean section with dry gauze to wipe the uterine cavity can effectively reduce the uterine bleeding, reduce vaginal bleeding ,conducive to the maternal postpartum recovery.

关 键 词：剖宫产 干纱垫 宫腔出血 

分 类 号：R719.8[医药卫生—妇产科学]