无齿卵圆钳用于子宫下段收缩乏力所致产后出血的临床研究

Clinical study on using toothless oval clamp on preventing postpartum hemorrhage caused by uterine segment weak contraction

目的探讨无齿卵圆钳用于子宫下段收缩乏力所致的产后出血的临床疗效。方法对2007年1月至2010年5月55例因子宫下段收缩乏力所致产后出血患者随机分为2组:对照组24例和观察组31例。对照组采用按摩子宫、注射缩宫素、欣母沛等治疗;观察组在对照组治疗的同时立即用无齿卵圆钳钳夹住宫颈及子宫下段。对比2组产后出血的情况。结果观察组治疗后2、24h出血量均明显少于观察组(均P<0.05)。结论在子宫下段收缩乏力所致的产后出血的患者中用无齿卵圆钳钳夹宫颈及子宫下段是治疗产后出血、减少出血量的一种简便、快捷、有效的方法,值得临床推广应用。

Objective To explore the effect of curing postpartum hemorrhage caused by uterine segment weak contraction by clamping uterine segment with toothless oval clamp.Methods 54 cases of postpartum hemorrhage caused by uterine segment weak contraction from January 2007 to May 2010 were randomly divided into two groups：contrast group（24 cases） and observation group（31 cases） .The patients in two groups injected hemabate and oxytocin into their uterine corpus after delivery respectively,with uterine massage,observation group,added in clamping uterine segment with toothless oval clamp immediately.Compared rates of postpartum hemorrhage in two groups.Results The bleeding amounts at 2 hours and 24 hours after delivery in observation group were both less than those in contrast group（P〈 0.05） .Conclusion The treatment of curing postpartum hemorrhage caused by uterine segment weak contraction with the method of clamping uterine segment with toothless oval clamp is effective,simple,and quick.It is worth to promote.