产后大出血应急预案演练在产科抢救中的价值研究  

Study on the Value of Postpartum Hemorrhage Emergency Plan Drills in Obstetric Resuscitation

作　　者：冯进芬 张邦 FENG Jinfen;ZHANG Bang(Department of Obstetrics,Sinan People's Hospital of Guizhou Province,Tongren 565199,China;Department of Emergency,Sinan County People's Hospital,Tongren 565199,China)

机构地区：[1]思南县人民医院产科,贵州铜仁565199 [2]思南县人民医院急诊科,贵州铜仁565199

出　　处：《中华灾害救援医学》2025年第2期188-191,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探讨产后大出血应急预案演练在产科抢救中的应用价值。方法选择2020年4月至2024年5月在思南县人民医院抢救的96例产后大出血患者作为研究对象。将2022年5月至2024年5月开展产后出血应急预案演练后的48例产后大出血的产妇为观察组,2020年4月至2022年4月开展产后出血应急预案演练前的48例产后大出血的产妇为对照组。比较两组产妇止血情况、凝血功能相关指标、负面情绪、不良反应发生情况、护理满意度。结果与对照组产妇相比,观察组产妇产后出血量更少,止血时间和手术时间更短,止血成功率更高,子宫切除率更低,差异具有统计学意义(P<0.05)。干预后,两组产妇凝血功能相关指标:纤维蛋白原、D-二聚体水平均明显下降,且观察组产妇纤维蛋白原、D-二聚体水平更低(P<0.05);活化部分凝血活酶时间、凝血酶原时间、凝血酶时间均明显缩短,且观察组上述时间缩短更明显(P<0.05)。两组患者干预后负面情绪相关的焦虑SAS评分、抑郁SDS评分均明显降低,但观察组SAS评分、SDS评分降低更明显(P<0.001)。与对照组产妇相比,观察组产妇并发症发生率明显低于对照组(P<0.05)。结论产后出血应急预案演练可有效提高产后出血的抢救效率,改善产妇的凝血功能和负面情绪,降低并发症的发生风险。Objective To investigate the application value of emergency response drills for postpartum hemorrhage in obstetric rescue.Methods This study included 96 patients who experienced postpartum hemorrhage and were treated at Sinan County People's Hospital from April 2020 to May 2024.Among them,48 patients who underwent emergency response drills for postpartum hemorrhage from May 2022 to May 2024 were designated as the observation group,while 48 patients treated from April 2020 to April 2022,prior to the implementation of the drills,constituted the control group.We compared the two groups regarding hemostatic outcomes,coagulation function indicators,negative emotions,adverse reaction occurrences,and nursing satisfaction.Results Compared to the control group,patients in the observation group experienced significantly less blood loss postpartum,shorter hemostatic and surgical times,a higher hemostatic success rate,and a lower rate of hysterectomy,with statistically significant differences(P<0.05).Post-intervention,coagulation function indicators showed significant decreases in fibrinogen and D-dimer levels in both groups,with the observation group exhibiting lower levels(P<0.05).Activated partial thromboplastin time,prothrombin time,and thrombin time were all significantly shortened,and the reductions were more pronounced in the observation group(P<0.05).After the intervention,scores for negative emotions,as measured by the Anxiety Self-Rating Scale(SAS)and the Depression Self-Rating Scale(SDS),significantly decreased in both groups,with more substantial reductions noted in the observation group(P<0.001).Moreover,the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Emergency response drills for postpartum hemorrhage can effectively enhance the efficiency of rescue efforts,improve coagulation function and alleviate negative emotions in patients,while reducing the risk of complications.

关 键 词：产后出血 应急预案演练 急救 

分 类 号：R714.461[医药卫生—妇产科学]