院前急救管理措施在输卵管妊娠合并大出血中的应用价值分析  

Application value of pre hospital emergency management measures in tubal pregnancy complicated with massive hemorrhage

作　　者：陈克娜[1] Chen Kena(Emergency department of Humen hospital,Dongguan 523900,China)

机构地区：[1]东莞市虎门医院急诊,广东东莞523900

出　　处：《实用妇科内分泌电子杂志》2021年第17期34-36,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨在输卵管妊娠合并大出血中积极采取院前急救管理措施的效果及对产妇再次生育能力的提升作用。方法按照随机数字表法对36例在2018年1月至12月收治的输卵管妊娠合并大出血患者分组。对照组(n=18)展开常规院前管理,观察组(n=18)展开院前急救管理,对比两组急救管理效果。结果与对照组进行比照,观察组患者的派车反应、出车、现场处置及途中时间记录值明显更短,出血量明显更少,差异有统计学意义(P<0.05)。同比对照组,观察组产后2 h、12 h、24 h不同时间点的出血量均明显减少,差异有统计学意义(P<0.05)。观察组产妇输卵管通畅率、再次生育能力较之对照组均明显提升,差异有统计学意义(P<0.05)。结论院前急救管理措施可提升输卵管妊娠合并大出血产妇急救效率及再次生育能力。Objective To investigate the effect of active pre-hospital emergency management measures in tubal pregnancy combined with hemorrhage and the effect on maternal re-fertility.Methods Thirty-six patients with combined tubal pregnancy and hemorrhage admitted from January to December 2018 were grouped according to the random number table method.The control group(n=18)underwent conventional pre-hospital management and the observation group(n=18)underwent pre-hospital emergency management,and the effects of emergency management were compared between the two groups.Results Compared with the control group,the patients in the observation group had significantly shorter dispatch response,discharge,field disposal and en route time recording values,and significantly less bleeding,with statistically significant differences(P<0.05).Compared with the control group,the observation group had significantly less bleeding at different time points 2 h,12 h and 24 h after delivery,and the difference was statistically significant(P<0.05).The maternal tubal patency rate and the ability to have children again were significantly improved in the observation group compared with the control group,and the difference was statistically significant(P<0.05).Conclusion Pre-hospital emergency management measures can improve the efficiency of emergency treatment and the ability of re-fertility in women with combined tubal pregnancy and hemorrhage.

关 键 词：院前急救管理 输卵管妊娠 大出血 输卵管通畅率 应用价值 

分 类 号：R714.22[医药卫生—妇产科学]