无创性气囊腹压带对分娩镇痛产妇产后子宫收缩及产后出血的影响  

Effect of noninvasive balloon abdominal pressure band on postpartum uterine contraction and postpartum hemorrhage in parturient women undergoing labor analgesia

作　　者：李慧[1] 温济英[1] 艾君[1] LI Hui;WEN Jiying;AI Jun(Department of Obstetrics,Guangdong Maternal and Child Health Hospital,Guangzhou 510010,China)

机构地区：[1]广东省妇幼保健院产科,广东广州510010

出　　处：《西部医学》2022年第11期1651-1654,共4页Medical Journal of West China

基　　金：广州市科技计划项目(202002030394)。

摘　　要：目的探讨无创性气囊腹压带对分娩镇痛产妇产后子宫收缩及产后出血的影响。方法选取2020年8月~2021年6月于我院产科生产的足月头位初产妇96例,随机分为对照组和观察组,每组48例。对照组产妇采用传统分娩的方式生产,第三产程时给予催产素20 U+0.9%氯化钠静脉滴注,观察组在传统分娩的基础上采用无创性气囊腹压带进行辅助生产。对比两组产妇产程时间、出血量、产后子宫收缩能力、生产前后血常规[红细胞计数(RBC)、血红蛋白(Hb)、血小板计数(PLT)及红细胞压积(Hct)]和凝血功能[凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)及纤维蛋白原(Fg)]指标及新生儿出生时Apgar评分及脐动脉血气值[pH、血氧分压(PO 2)、血二氧化碳分压(PCO 2)]。结果与对照组比较,观察组产妇第三产程时间、胎盘娩出时间、第三产程出血量、胎盘娩出出血量、产后产后2 h出血量均显著降低(P<0.05)。产后72 h,与对照组比较,观察组产妇宫缩幅度、宫缩强度、宫缩张力及RBC、Hct、Hb、PLT均显著升高,宫缩频率显著降低,差异均具有统计学意义(P<0.05)。两组产妇会阴侧切率、产后2 h生命体征及产后72 h PT、APTT、Fg比较,差异无统计学意义(P>0.05)。两组新生儿Apgar评分及脐动脉血pH、PO 2、PCO 2、Hct、血清K+比较,差异无统计学意义(P>0.05)。结论无创性气囊腹压带联合宫缩素可增强产妇子宫收缩能力,加快第三产程进程并降低产后出血量,不影响母婴健康,安全可靠。Objective To explore the effect of noninvasive balloon abdominal pressure band on postpartum uterine contraction and postpartum hemorrhage in parturient women.Methods 96 full-term first trimesters who gave birth in the obstetrics department of our hospital from August 2020 to June 2021 were randomly divided into control group(n=48)and observation group(n=48).The mothers in the control group gave birth in the way of traditional delivery,during the third stage of labor,oxytocin 20 U+0.9%sodium chloride were given intravenously.The observation group was assisted by non-invasive balloon abdominal pressure band on the basis of traditional delivery.The time of labor,blood loss,postpartum uterine contraction,blood routine and coagulation indexes before and after delivery,and the blood gas value of umbilical artery at birth were compared between the two groups.Results Compared with the control group,the time of the third stage of labor,the time of placenta delivery,the amount of bleeding in the third stage of labor,the amount of bleeding from placenta,and the amount of bleeding in the 2 h postpartum of the observation group were significantly reduced(P<0.05).At 72 h postpartum,the magnitude of contractions,contraction intensity,contraction tension,RBC,Hct,Hb,and PLT of the observation group were significantly higher than those of the control group,and the frequency of contractions was significantly lower than that of the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the rate of lateral resection of the perineum,2 h postpartum vital signs,and 72 h postpartum PT,APTT,and Fg between the two groups(P>0.05).There was no significant difference in Apgar score and umbilical artery blood pH,PO 2,PCO 2,hematocrit and hematocrit between the two groups of newborns(P>0.05).Conclusion Non-invasive balloon abdominal pressure band combined with uterine contractions can enhance maternal uterine contractions,accelerate the third stages of labor and reduce postpartum

关 键 词：气囊腹压带 分娩镇痛 子宫收缩 产后出血 

分 类 号：R714.3[医药卫生—妇产科学]