首页|改良式宫颈钳夹术在预防和治疗产后出血中的临床应用研究

改良式宫颈钳夹术在预防和治疗产后出血中的临床应用研究

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目的 探究改良式宫颈钳夹术在预防和治疗产后出血中的临床疗效。方法 选取170例阴道分娩具有宫缩乏力性产后出血高危因素的产妇,根据治疗方法不同分为对照组(100例)与研究组(70例)。两组均同时使用缩宫素注射液治疗,在此基础上,研究组使用改良式宫颈钳夹术,对照组使用欣母沛或麦角新碱注射液,比较两组临床效果。结果 研究组产妇产后的2h、6h、12 h、24 h出血量均少于对照组,差异具有统计学意义(P<0。05)。研究组的产后出血发生率、严重产后出血发生率及24 h血红蛋白下降值均低于对照组(P<0。05)。结论 采用改良式宫颈钳夹术是安全、有效的,且操作简单,能促进子宫收缩,对预防和治疗产后出血具有良好疗效,有效地减少产后出血量,降低产妇血红蛋白下降值和出血发生率,疗效显著,值得临床推广与应用。
Clinical application of modified cervical clamp in prevention and treatment of postpartum hemorrhage
Objective To explore the clinical effect of modified cervical clamp in prevention and treatment of postpartum hemorrhage.Methods 170 women with high risk factors for postpartum hemorrhage due to uterine fatigue were selected and divided into control group(100 cases)and study group(70 cases)according to different treatment methods.Both groups were treated with oxytocin injection at the same time.On this basis,the study group was treated with modified cervical clamp,and the control group was treated with Cimepi or ergotrine injection.The clinical effects of the two groups were compared.Results Postpartum blood loss at 2 h,6 h,12 h and 24 h in the study group was less than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postpartum hemorrhage,the incidence of severe postpartum hemorrhage and the 24 h hemoglobin decreased value in the study group were lower than those in the control group(P<0.05).Conclusion The modified cervical clamp is safe,effective,and simple to operate,can promote uterine contraction,and has a good effect on the prevention and treatment of postpartum bleeding,effectively reduce the amount of postpartum bleeding,reduce the maternal hemoglobin decline value and the incidence of bleeding,with significant efficacy,worthy of clinical promotion and application.

Cervical clampingPostpartum hemorrhagePreventive and curative measures

赵丽君、李巧弟、李华锦

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东莞市横沥医院妇产科,广东 东莞 523046

宫颈钳夹术 产后出血 预防和治疗措施

东莞市社会发展科技任务书

20211800901002

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(18)