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目的:探讨产后出血的干预性治疗方法及其临床效果。方法:选取来我院进行分娩的产妇180例,随机分为三组,A、B、C组各60例产妇。A组60例产妇给与缩宫素干预治疗产后出血,B组60例产妇给与米索前列醇联合手法按摩干预治疗产后出血,C组60例产妇不作任何干预治疗,等待胎盘自然分娩。观察对比三组产妇的第三产程时间、产后2小时的出血量以及产后出血的发生率。结果:A组合B组产妇的第三产程时间、产后2小时出血量和产后出血发生率等方面具显著低于C组产妇,比较差异具有统计学意义(P<0.05或P<0.01),B组产妇的第三产程时间、产后2小时出血量和产后出血发生率均显著低于A组产妇,比较差异具有统计学意义(P<0.05)。结论:采取米索前列醇联合手法按摩的方式具有操作简单、安全有效,降低产后出血发生率的临床效果。
Objective: To explore the interventional treatment of postpartum hemorrhage and its clinical effect. Methods: One hundred and eighty pregnant women who were delivered to our hospital for delivery were randomly divided into three groups, 60 maternal women in groups A, B and C. A group of 60 women given oxytocin intervention treatment of postpartum hemorrhage, B group of 60 women given misoprostol hand massage intervention treatment of postpartum hemorrhage, C group of 60 maternal without any intervention, waiting for the natural delivery of the placenta. The duration of the third stage of labor, the amount of bleeding after 2 hours and the incidence of postpartum hemorrhage were compared between the three groups. Results: The time of the third stage of labor, the amount of bleeding after 2 hours and the incidence of postpartum hemorrhage in group B were significantly lower than those in group C (P <0.05 or P <0.01), and B The time of the third stage of labor, the amount of hemorrhage 2 hours after delivery and the incidence of postpartum hemorrhage were significantly lower than those in group A, the difference was statistically significant (P <0.05). Conclusion: The combination of misoprostol with manual massage has the advantages of simple operation, safe and effective, and reduces the incidence of postpartum hemorrhage.