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目的观察刮匙轻搔宫壁法减少剖宫产术后阴道流血的临床效果。方法选择2011年～2012年在我院剖宫产的产妇400例,随机分为对照组和改良组,两组在年龄、孕周、孕次、产次及是否有高危因素等差异均无统计学意义。对照组在剖宫产术中胎盘娩出后只用干纱布擦拭宫腔四壁两遍,改良组在剖宫产术中胎盘娩出后先用刮匙轻轻搔刮宫壁,然后用干纱垫擦拭宫腔四壁两遍。结果改良组术后阴道流血量明显减少,阴道流血时间明显缩短。结论剖宫产术中胎盘娩出后先用刮匙轻轻搔刮宫壁,再用干纱垫擦拭宫腔能明显减少术后阴道流血。
Objective To observe the clinical effect of curettage with light curettage to reduce vaginal bleeding after cesarean section. Methods 400 cases of maternal cesarean section in our hospital from 2011 to 2012 were randomly divided into control group and modified group. There was no statistical difference in age, gestational age, gestational age, parity and whether there were risk factors among the two groups Significance of learning. The control group in the cesarean section after the delivery of the placenta only dry gauze wipe the uterine wall four times, the improvement group in the cesarean section after the delivery of the placenta with a curette gently scratch the wall, and then wipe with a dry yarn pad Uterine wall twice. Results In the modified group, the amount of vaginal bleeding was significantly reduced and the vaginal bleeding time was significantly shortened. Conclusions After cesarean section, the placenta is gently scraped off the uterine wall with a curette and the wipe of the uterine cavity with a dry yarn pad can significantly reduce the postoperative vaginal bleeding.