院前急救及转诊对晚期产后出血产妇的影响  

Influence of Pre-hospital Emergency Treatment and Referral on Late Postpartum Hemorrhage

作　　者：权曼曼 Quan Manman(Heze Shanxian County Central Hospital,Heze 274300,Shandong Province,China)

机构地区：[1]菏泽市单县中心医院,山东菏泽274300

出　　处：《中外医药研究》2024年第5期36-38,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析院前急救及转诊对晚期产后出血产妇的影响。方法:选取2020年3月—2023年8月单县中心医院急诊科收治的晚期产后出血产妇99例为研究对象,采用随机数字表法分为对照组(n=50)和观察组(n=49)。对照组采取常规急救,观察组在对照组基础上采取院前急救及转诊。比较两组抢救成功率及生命体征、出血量、并发症发生率。结果:观察组抢救成功率高于对照组,差异有统计学意义(P=0.021)。抢救前,两组收缩压、舒张压、心率比较,差异无统计学意义(P>0.05);抢救后,两组收缩压、舒张压升高,心率降低,观察组收缩压、舒张压高于对照组,心率低于对照组,差异有统计学意义(P<0.05)。观察组出血量低于对照组,差异有统计学意义(P<0.001)。观察组并发症发生率低于对照组,差异有统计学意义(P=0.039)。结论:有效的院前急救及转诊措施对于晚期产后出血具有重要意义,可提高抢救成功率,改善血压、心率水平,降低出血量,减少并发症。Objective:To analyze the influence of pre-hospital emergency treatment and referral on late postpartum hemorrhage.Methods:Ninety-nine women with late postpartum hemorrhage admitted to the Emergency Department of Shanxian County Central Hospital from March 2020 to August 2023 were selected as the study objects,and were divided into control group(n=50)and observation group(n=49)by random number table method.The control group received routine emergency,and the observation group received pre-hospital emergency and referral based on the control group.The success rate of rescue,vital signs,blood loss and complication rate were compared between the two groups.Results:The rescue success rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.021).Before rescue,there was no significant difference in systolic blood pressure,diastolic blood pressure and heart rate between the two groups(P>0.05);after rescue,the systolic and diastolic blood pressure increased and the heart rate decreased in both groups,the systolic and diastolic blood pressure in the observation group were higher than those in the control group,and the heart rate was lower than those in the control group,with statistical significance(P<0.05).The blood loss in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.001).The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.039).Conclusion:Effective pre-hospital emergency and referral measures are of great significance for late postpartum hemorrhage,which can improve the success rate of rescue,improve blood pressure and heart rate,reduce the amount of bleeding and reduce complications.

关 键 词：晚期产后出血 急诊科 院前急救 转诊 

分 类 号：R714.461[医药卫生—妇产科学]