探析胎盘胎膜残留所引发的晚期产后出血患者的临床表现和治疗方案  

Clinical manifestations and treatment regimens of late postpartum hemorrhage patients caused by resident placenta membrane

作　　者：赵斐 王娟 

机构地区：[1]新疆维吾尔自治区妇幼保健院,830001

出　　处：《中国实用医药》2017年第12期124-126,共3页China Practical Medicine

摘　　要：目的研究胎盘胎膜残留所引发的晚期产后出血的临床表现和治疗方案。方法 100例胎盘胎膜残留所引发的晚期产后出血患者,将其随机分为对照组及观察组,每组50例。对照组患者给予药物治疗,观察组患者实施清宫术治疗。观察两组患者治疗后的临床疗效、不良反应发生情况、出血量。结果观察组患者总有效率98.00%显著高于对照组70.00%,差异具有统计学意义(P<0.05)。观察组患者不良反应发生率4.00%低于对照组18.00%,差异具有统计学意义(P<0.05)。治疗后观察组患者的出血量(35.22±12.11)ml显著少于对照组(60.55±30.25)ml,差异具有统计学意义(P<0.05)。结论清宫术治疗胎盘胎膜残留所引发的晚期产后出血效果比药物治疗效果显著,临床上可根据患者的具体情况选择合适的治疗方法。Objective To study the clinical manifestations and treatment regimens of late postpartum hemorrhage patients caused by resident placenta membrane. Methods A total of 100 late postpartum hemorrhage patients caused by resident placenta membrane were randomly divided into control group and observation group, with 50 cases in each group. The control group received drug therapy, and the observation group received uterus curettage for treatment. Observation were made on clinical curative effect, occurrence of adverse reactions and bleeding volume after treatment in two groups. Results The observation group had obviously higher total effective rate as 98.00% than 70.00% in the control group, and the difference had statistical significance （P〈0.05）. The observation group had lower adverse reactions＇ as 4.00% than 18.00% in the control group, and the difference had statistical significance （P〈0.05）. The observation group had obviously less bleeding volume alter treatment as （35.22 ± 12.11） ml than （60.55 ± 30.25） ml in the control group, and the difference had statistical significance （P〈0.05）. Conclusion Compared with drug therapy, uterus curettage shows more significant treatment effect in late postpartum hemorrhage caused by resident placenta membrane, appropriate treatment methods should be chosen according to specific circumstances of patients in clinic.

关 键 词：胎盘胎膜残留 晚期产后出血 清宫术 

分 类 号：R714.461[医药卫生—妇产科学]