产后出血模拟实训在防治产后出血中的临床效果观察

目的评价产后出血模拟实训在防治产后出血中的临床效果及可行性。方法选取2018年开展产后出血模拟实训后收治的114例产后出血产妇为观察组,另选取2017年未开展演练时收治的72例产后出血产妇为对照组。比较两组产妇严重产后出血率、难治性产后出血率、产后出血量、用血量,并比较50例医务人员模拟实训前后考核成绩。结果观察组严重产后出血率1.8%、难治性产后出血率0均低于对照组的11.1%、5.6%;差异均有统计学意义(P<0.05);观察组产后出血量(535±10.5)ml、用血量(1000±102.3)ml均少于对照组的(750±11.3)、(1800±180.1)ml,差异均有统计学意义(P<0.05)。模拟实训后,50例医务人员理论知识、操作水平、应急能力、沟通能力、团队合作能力的考核成绩分别为(77±8.5)、(87±10.7)、(77±3.7)、(85±3.7)、(82±4.2)分,均高于模拟实训前的(65±6.5)、(66±8.4)、(60±1.2)、(70±4.5)、(65±1.2)分,差异均有统计学意义(P<0.05)。结论在产科针对产后出血开展模拟实训,可有效提高科医务人员的产科急重症理论知识、应急处理能力和团队协作能力,有效改善母婴结局。

Observation on clinical effect of postpartum hemorrhage simulation training in prevention and treatment of postpartum hemorrhage

Objective To evaluate the clinical effect and feasibility of postpartum hemorrhage simulation training in prevention and treatment of postpartum hemorrhage.Methods There were 114 cases of postpartum hemorrhage admitted after the practice of postpartum hemorrhage in 2018 selected as the observation group,and 72 cases of postpartum hemorrhage admitted before the practice of postpartum hemorrhage in 2017 as the control group.The severe postpartum hemorrhage rate,refractory postpartum hemorrhage rate,amount of postpartum hemorrhage,blood consumption were compared between the two groups.The examination results of 50 medical staff before and after simulation training were compared.Results The severe postpartum hemorrhage rate and refractory postpartum hemorrhage of the observation group were 1.8%and 0,which were all lower than those of the control group 11.1%and 5.6%,and the difference was statistically significant(P<0.05).The amount of postpartum hemorrhage and blood consumption of the observation group were(535±10.5)and(1000±102.3)ml,which were all less than those of the control group(750±11.3)and(1800±180.1)ml,and the difference was statistically significant(P<0.05).After simulation training,examination results of 50 medical staff for theoretical knowledge,operation level,emergency response ability,communication ability and team cooperation ability were(77±8.5),(87±10.7),(77±3.7),(85±3.7)and(82±4.2)points,which were all higher than those before simulation training(65±6.5),(66±8.4),(60±1.2),(70±4.5)and(65±1.2)points,and their difference was statistically significant(P<0.05).Conclusion Carrying out emergency plan practice for postpartum hemorrhage in the obstetric department can effectively improve the theoretical knowledge,emergency handling ability and teamwork ability of medical staff in obstetrics,and effectively improve the maternal and infant outcomes of postpartum hemorrhage.