无创性气囊腹压带使用时间对自然分娩初产妇产后出血的预防效果  

Preventive effect of the used time of non-invasive balloon abdominal pressure belt on postpartum hemorrhage in parturients with natural delivery

作　　者：李慧[1] 艾君[2] 周平[1] 温济英[1] LI Hui;AI Jun;ZHOU Ping(Department of Obstetrics,Guangdong Maternal and Child Health Hospital,Guangdong,Guangzhou 510010,China;不详)

机构地区：[1]广东省妇幼保健院产科,广州市510010 [2]广东省妇幼保健院妇科,广州市510010

出　　处：《河北医药》2023年第10期1488-1491,共4页Hebei Medical Journal

基　　金：广州市科学技术局基础研究项目(编号:202002030394)。

摘　　要：目的探讨无创性气囊腹压带使用时间对自然分娩初产妇产后出血的预防效果。方法选取2021年6月至2022年6月在广东省妇幼保健院进行自然分娩的160例初产妇,按照随机数字表法分为对照组、观察1组、观察2组和观察3组,每组40例。对照组给予催产素预防产后出血,其余3组在对照组基础上使用无创性气囊腹压带,观察1组使用时间从第三产程开始持续至产后2 h,观察2组持续至产后4 h,观察3组持续至产后6 h。比较4组产妇分娩情况、产妇生命体征及产后出血量。结果观察1组、观察2组、观察3组第三产程时间少于对照组,差异有统计学意义(P<0.05)。产后6 h,观察3组心率、收缩压高于其余3组,血氧饱和度低于其余3组,差异有统计学意义(P<0.05)。产后2、4、6 h,观察1组、观察2组、观察3组阴道出血量均少于对照组;产后4 h、6 h,观察2组、观察3组阴道出血量又少于观察1组,差异有统计学意义(P<0.05)。结论自然分娩初产妇无创性气囊腹压带使用时间从第三产程开始持续至产后4 h,既能有效预防产后出血,又不会引起血流动力学波动。Objective To explore the preventive effect of the used time of non-invasive balloon abdominal pressure belt on postpartum hemorrhage in parturients with natural delivery.Methods From June 2021 to June 2022,160 parturients with natural delivery were enrolled from Guangdong Maternal and Child Health Hospital,and they were randomly assigned into control group,observation 1 group,observation 2 group,and observation 3 group,with 40 cases in each group.Oxytocin was given to parturients in the control group to prevent postpartum hemorrhage.Non-invasive balloon abdominal pressure belt was applied from the third stage of labor to 2,4 and 6h after delivery in observation 1,2 and 3 group,respectively.The delivery situation,maternal vital signs and postpartum hemorrhage among four groups were compared.Results The time of the third stage of labor in observation 1 group,observation 2 group and observation 3 group were significantly shorter than that in the control group(P<0.05).After 6 h of delivery,the heart rate and systolic blood pressure in the observation 3 group were significantly higher,and the blood oxygen saturation was significantly lower than those in the other three groups(P<0.05).After 2,4,and 6 h of delivery,the amount of vaginal bleeding in the three observation groups was significantly less than that in the control group.After 4 and 6 h of delivery,the amount of vaginal bleeding was significantly less in observation 2 group and observation 3 group compared to that of the observation 1 group(P<0.05).Conclusion The use of non-invasive balloon abdominal pressure belt from the third stage of labor to 4 h after delivery can effectively prevent postpartum hemorrhage without causing hemodynamic fluctuation.

关 键 词：初产妇 产后出血 气囊腹压带 使用时间 

分 类 号：R741.461[医药卫生—神经病学与精神病学]