产后康复治疗仪联合米索前列醇治疗子宫收缩乏力产后出血的临床效果

Clinical effect of postpartum rehabilitation device combined with misoprostol in the treatment of postpartum hemorrhage due to uterine atony

目的 探讨产后康复治疗仪联合米索前列醇对子宫收缩乏力产后出血的干预效果。方法 74例分娩且产后出现子宫收缩乏力产后出血患者,按照随机数字表法原则分成观察组和对照组,每组37例。对照组患者即刻给予缩宫素联合米索前列醇治疗,观察组则在对照组基础上增加产后康复治疗仪治疗。比较两组患者临床疗效、产后不同时间的阴道出血量、不良反应发生情况。结果 观察组临床总有效率94.59%高于对照组的78.38%,差异有统计学意义(P<0.05)。两组产后4 h阴道出血量比较,差异无统计学意义(P>0.05);两组产后8、12、24 h的阴道出血量均较产后4 h增加,且观察组阴道出血量分别为(322.25±45.56)、(428.56±50.12)、(552.15±56.25)ml,均少于对照组的(401.18±51.18)、(501.12±53.36)、(642.25±62.84)ml,差异具有统计学意义(P<0.05)。观察组不良反应发生率8.11%低于对照组的27.03%,差异有统计学意义(P<0.05)。结论 产后康复治疗仪联合米索前列醇对子宫收缩乏力产后出血的治疗效果明显,能够减少产后出血量,且不良反应发生率低。

Objective To explore the effect of postpartum rehabilitation device combined with misoprostol in the treatment of postpartum hemorrhage due to uterine atony.Methods A total of 74 patients with postpartum hemorrhage due to uterine atony were enrolled as the subjects of this study.According to the principle of random number table method,they were divided into an observation group and a control group,with 37 cases in each group.The control group was treated with oxytocin and misoprostol,and the observation group added the postpartum rehabilitation therapy device on the basis of the control group.The clinical efficacy,the amount of postoperative vaginal bleeding and the occurrence of adverse reactions were compared between the two groups.Results The total clinical effective rate in the observation group was 94.59%,which was higher than 78.38%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the amount of vaginal bleeding at 4 h postpartum between the two groups(P>0.05);but the amount of postpartum bleeding increased at 8,12 and 24 h postpartum,and the amount of vaginal bleeding in the observation group were(322.25±45.56),(428.56±50.12)and(552.15±56.25)ml,which were all less than(401.18±51.18),(501.12±53.36)and(642.25±62.84)ml in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 8.11%,which was lower than 27.03%in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment effect of postpartum rehabilitation device combined with misoprostol on postpartum hemorrhage due to uterine atony is significant,and can reduce the amount of postpartum bleeding,and the incidence of adverse reactions is low.