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目的探讨高危妊娠产妇产后出血的原因以及预防措施。方法收集2012年11月至2014年12月经我院确诊的40例高危妊娠产妇资料,依据处理措施不同将40例产妇均分为对照组(20例)和观察组(20例)。对照组产妇给予产后常规的措施,而观察组产妇则在产后给予催产素,同时给予宫颈注射或肌内注射益母草注射液,并进行适当的腹部按摩。观察两组产妇的高危原因及产后出血原因和出血量。结果观察组产妇产后2 h内和24 h的平均出血量均低于对照组(均P<0.05),差异有统计学意义。子宫收缩乏力、软产道裂伤、胎盘问题以及凝血功能障碍等因素是导致高危妊娠产妇产后出血的原因。结论产妇应加强产前检查,尤其对于高危产妇而言,给予益母草注射液进行治疗,对减少产后出血现象、提高产妇的生活质量有着重要意义。
Objective To investigate the causes and preventive measures of postpartum hemorrhage in high-risk pregnant women. Methods Forty pregnant women with high-risk pregnancies diagnosed in our hospital from November 2012 to December 2014 were collected and divided into control group (n = 20) and observation group (n = 20) according to different treatment measures. In the control group, mothers were given routine measures of postnatal period while those in the observation group were given oxytocin after giving birth. Meanwhile, cervical injection or intramuscular injection of Leonurus injection was given and a proper abdominal massage was performed. Observe the two groups of maternal high-risk causes and causes of postpartum hemorrhage and bleeding. Results The average amount of bleeding within 2 h and 24 h after delivery in the observation group was lower than that in the control group (all P <0.05). The difference was statistically significant. Uterine atony, soft birth canal laceration, placental problems and coagulation disorders and other factors leading to high-risk pregnancy maternal postpartum hemorrhage. Conclusion Maternal women should be strengthened prenatal examination, especially for high-risk women, giving Motherwort Injection for treatment, to reduce the phenomenon of postpartum hemorrhage, improve the quality of life of mothers is of great significance.