钳夹并持续压迫子宫下段治疗前置胎盘产后出血临床观察

目的:探讨钳夹并持续压迫子宫下段治疗前置胎盘产后出血的临床效果。方法:共65例病例分为两组,研究组:前置胎盘自然分娩后子宫下段宫缩乏力性产后出血20例(2014~2015年);对照组:前置胎盘自然分娩后子宫下段宫缩乏力性产后出血45例(2011~2013年),对两组患者的治疗和预后等情况进行对比分析。结果:研究组的平均出血量(1634±145)m L,对照组的平均出血量(2083±156)m L,两组比较差异有统计学意义(P0.05);研究组的平均输血量(4.15±0.15)U,对照组的平均输血量(6.20±0.23)U,两组比较差异有统计学意义(P0.05);操作时间,研究组(2.58±0.35)min,对照组(18.45±0.52)min,两组比较差异有统计学意义(P0.05);住院费用,研究组(6204.60±153.32)元,对照组(8860.40±172.30)元,两组比较差异有统计学意义(P0.05);产后平均出院时间,研究组(3.5±0.3)d,对照组(4.5±0.5)d,两组比较有显著差异(P0.05)。结论:钳夹并持续压迫子宫下段治疗前置胎盘产后出血的方法有效、易操作,具有无创性、节约病人费用,且不增加感染机会及住院时间。

Clamp sustained compression of lower uterine segment for treatment of postpartum hemorrhage of placenta previa

Objectives:To investigate the effect of clamp sustained compression of lower uterine segment for the treatment of postpartum hemorrhage of placenta previa.Methods:65 cases were included in this study and were divided into two groups:the study group (20 cases of postpartum hemorrhage of placenta previa from 2014 to 2015) and the control group (45 cases of postpartum hemorrhage of placenta previa from 2011 to 2013).The treatment and prognosis status was analyzed.Results:The average amount of bleeding in study group and control group was respectively (1634 ± 145)ml and (2083 ± 156)ml,with statistically significant difference (P ＜ 0.05).The average amount of blood transfusion in study group and control group was respectively (4.15 ± 0.15)U and (6.20 ± 0.23) U,with statistically significant difference between the two groups (P ＜ 0.05).The operation time of study group and control group was respectively (2.58 ±0.35)min and (18.45 ± 0.52)min,with statistically significant difference between the two groups (P ＜ 0.05).The average cost of hospitalization of study group and control group was respectively (6204.60 ± 153.32)yuan and (8860.40 ± 172.30)yuan,with statistically significant difference between the two groups (P ＜ 0.05).The mean hospitalization time after delivery of study group and control group was respectively (3.5 ± 0.3) days and (4.5 ± 0.5) days,with statistically significant difference between the two groups (P ＜ 0.05).Conclusion:Clamp sustained compression of lower uterine segment for treatment of postpartum hemorrhage of placenta previa is effective and easy to operate,with the advantages of non-invasive and cost saving.Besides,it does not increase the infection rate and hospitalization time.