子宫下段钳夹联合药物治疗产后出血疗效观察  

Observation on therapeutic effect of lower uterine segment clamp combined with drug therapy in treatment of postpartum hemorrhage

作　　者：董春燕 刘海梅 张继红 廖莉君 DONG Chun-yan;LIU Hai-mei;ZHANG Ji-hong;LIAO Li-jun(The Second Department of Obstetrics,Xinyu Maternal and Child Health Hospital,Jiangxi Province,Xinyu 338025,China)

机构地区：[1]江西省新余市妇幼保健院产二科,江西新余338025

出　　处：《中国当代医药》2020年第29期108-110,共3页China Modern Medicine

基　　金：江西省新余市科技计划项目(20193090860)。

摘　　要：目的探讨子宫下段钳夹联合药物治疗产后出血的效果。方法选取2018年1月~2019年12月我院收治的80例产后出血产妇作为研究对象,按照随机数字表法分为对照组(n=40)与观察组(n=40)。对照组采用单纯药物治疗,观察组采用子宫下段钳夹术联合药物治疗。比较两组的产后1、2、24 h出血量及效果、止血显效时间、住院时间、血红蛋白水平、输血情况。结果观察组的产后1、2、24 h出血量少于对照组,差异均有统计学意义(P<0.05);观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组的止血显效时间、住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组治疗后的血红蛋白水平高于对照组,差异有统计学意义(P<0.05),对照组治疗后的血红蛋白水平低于治疗前,差异有统计学意义(P<0.05)。观察组治疗前后的血红蛋白水平比较,差异无统计学意义(P>0.05)。观察组无需输血,对照组输血4例,观察组的输血发生率低于对照组,差异有统计学意义(P>0.05)。结论子宫下段钳夹联合药物治疗产后出血效果较好,可以缩短产妇的止血显效时间、住院时间,降低产后出血情况,对血红蛋白水平影响较小,降低输血量,应用价值较高。Objective To explore the therapeutic effect of lower uterine segment clamp combined with drug therapy in the treatment of postpartum hemorrhage.Methods A total of 80 patients with postpartum hemorrhage admitted to our hospital from January 2018 to December 2019 were selected as research subjects and divided into the control group(n=40)and the observation group(n=40)by the random number table method.The control group was treated with drug therapy alone,while the observation group was treated with lower uterine segment clamp combined with drug therapy.The blood loss at 1,2 and 24 h after delivery,the therapeutic effect,the hemostasis effect time,stay-in-hospital time,hemoglobin levels and blood transfusion status were compared between the two groups.Results The blood loss of the observation group at 1,2 and 24 h after delivery was lower than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The hemostasis effect time and the stay-in-hospital time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the hemoglobin level of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);while the hemoglobin level of the control group after treatment was lower than that before treatment,and the difference was statistically significant(P<0.05).There was no significant difference in the hemoglobin level of the observation group between before and after treatment(P<0.05).No blood transfusion was required in the observation group,while 4 cases occurred in the control group.The incidence of blood transfusion in the observation group was lower than that in the control group,with statistical difference(P<0.05).Conclusion Lower uterine segment clamp combined with drug therapy is effective in the treat

关 键 词：子宫下段钳夹 药物治疗 产后出血 疗效 

分 类 号：R714.461[医药卫生—妇产科学]