菏泽医学专科学校学报2024,Vol.36Issue(1) :34-36,53.DOI:10.3969/j.issn.1008-4118.2024.01.008

急诊子宫动脉栓塞术治疗产后大出血的疗效

Efficacy of emergency uterine artery embolization in the treatment of patients with postpartum massive hemorrhage

孙玉萍 曾慧荣
菏泽医学专科学校学报2024,Vol.36Issue(1) :34-36,53.DOI:10.3969/j.issn.1008-4118.2024.01.008

急诊子宫动脉栓塞术治疗产后大出血的疗效

Efficacy of emergency uterine artery embolization in the treatment of patients with postpartum massive hemorrhage

孙玉萍 1曾慧荣1
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作者信息

  • 1. 菏泽市立医院,山东 菏泽 274000
  • 折叠

摘要

目的 分析急诊子宫动脉栓塞术(UAE)对产后大出血患者凝血功能、生育功能的影响.方法 将我院急诊科收治的 120 例产后大出血患者随机分为对照组和观察组,每组 60 例.对照组采用卡前列素氨丁三醇注射液治疗,观察组采用UAE治疗,对比评价两组患者凝血功能、生育功能(卵巢动脉血流信号)及不良事件发生情况.结果 干预后观察组的凝血酶时间、活化部分凝血活酶时间、纤维蛋白原、血小板计数等凝血功能指标均明显改善,且观察组优于对照组(P<0.05);观察组脉搏峰值速度明显高于对照组,并且其阻力指数值显著低于对照组(P<0.05);两组不良事件发生情况比较,P<0.05.结论 急诊子宫动脉栓塞术治疗产后大出血患者,可保持良好卵巢动脉血流信号,明显改善患者凝血功能.

Abstract

Objective To analyze the effect of emergency uterine artery embolization(UAE)on coagulation and reproductive function of patients with postpartum hemorrhage.Methods 120 patients with postpartum hemorrhage admitted to the emergency department of our hospital were randomly divided into the control group and the observation group,with 60 cases in each group.The control group was treated with carboprost tromethamine injection,while the observation group was treated with UAE.The coagulation function,reproductive function(ovarian artery blood flow signal),and incidence of adverse events were compared and evaluated between the two groups.Results After intervention,the coagulation function indicators such as prothrombin time,activated partial thromboplastin time,fibrinogen,platelet count in the observation group were significantly improved,and these in the observation group was better than the control group(P<0.05).After intervention,the peak pulse velocity in the observation group was significantly higher than the control group,and the RI values were significantly lower than the control group(P<0.05).The incidence of adverse events in the observation group was significantly lower than the control group(P<0.05).Conclusion Emergency uterine artery embolization for patients with postpartum hemorrhage could maintain good ovarian artery blood flow signals,significantly improve coagulation function.

关键词

急诊/子宫动脉栓塞术/产后大出血/凝血功能/生育功能

Key words

Emergency/Uterine artery embolization/Postpartum hemorrhage/Coagulation function/Reproductive function

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出版年

2024
菏泽医学专科学校学报
菏泽医学专科学校

菏泽医学专科学校学报

影响因子:0.438
ISSN:1008-4118
参考文献量11
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