贮存式自体输血对剖宫产产妇产后子宫复旧影响观察  

Observation of effects of preoperative autologous blood donation on invo-lution of uterus of puerpera under cesarean section after delivery

作　　者：杨旦[1] 屠凤娟[1] 陈海江[1] 赵琍[1] 王月峰[1] 丁杰锋[1] 

机构地区：[1]浙江省绍兴市妇幼保健院输血科,浙江绍兴312000

出　　处：《中国现代医生》2015年第21期67-70,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2012KYB216)

摘　　要：目的研究贮存式自体输血对剖宫产产妇产后子宫复旧的影响。方法采用与无自体输血组对照,比较产后两组子宫下降高度、宫缩痛、恶露量、恶露结束时间、B超子宫复旧情况等。结果贮存式自体输血组术后宫高、宫缩痛评分、恶露结束平均时间、第3天与第7天子宫三径之和、宫腔积液发生率低于无自体输血组,产后42 d平均子宫复旧良好率高于无自体输血组,差异有统计学意义(P<0.05)。结论贮存式自体输血能促进产后子宫复旧,减轻产后宫缩痛,明显缩短恶露时间,值得提倡。Objective To study the effects of preoperative autologous blood donation on involution of uterus of puerpera under cesarean section after delivery. Methods Non-autologous blood donation was applied as control group. Height of uterus declining, pain of uterine contraction, amount of lochia, ending time of lochia and involution of uterus under ul- trasound B after delivery were compared between both groups. Results Heigh of uterus, score of uterine contraction pain, mean ending time of lochia, the sum of three dimensions of uterus in the third day and the seventh day and inci- dence of endometrial cavity fluid in the preoperative autologous blood donation group were lower than those in the non- autologous blood donation group. Mean good rate of involution of uterus in 42 days after delivery was higher than that in the non-autologous blood donation group. All the differences were statistically significant （P〈0.05）. Conclusion Pre- operative autologous blood donation is able to promote the involution of uterus after delivery, alleviate postpartum con- traction pain and significantly shorten lochia time, which is worthy of promotion.

关 键 词：贮存式自体输血 子宫复旧 宫缩痛 恶露 

分 类 号：R719.8[医药卫生—妇产科学]