78例宫缩乏力致产后出血的临床护理分析

The Clinical Nursing of 78 Cases of Postpartum Hemorrhage Caused by Uterine Atony

目的:探讨宫缩乏力导致产后出血的临床护理措施。方法:回顾性分析并总结笔者所在医院2009年3月-2011年9月收治的73例因宫缩乏力导致产后出血患者的临床护理措施。结果:73例产妇产后出血经快速有效止血和加强产后出血护理后,抢救成功。73例产妇中无一例进行子宫切除止血,无一例因产后大出血死亡。结论:分娩前有效筛查出高危产妇、对产妇加强分娩前分娩知识宣教、加强分娩时护理、分娩后密切监测产妇生命体征及自觉症状、一旦发生产后出血及时进行子宫按摩及加强心理护理,能有效减少产后出血发生率,能有效降低出血后子宫切除率,并从根本上提高和改善产妇的生存质量。

Objective ：To investigate the cause of postpartum hemorrhage uterine inertia clinical care measures.Methods ：A retrospective analysis and summary of our hospitalin March 2009 to September 2011 73 patients with postpartum hemorrhage due to uterine inertia causes clirucal care measures.Results ：After 73 cases of postpartum hemorrhage to stop bleeding quickly and effectively and strengthen the care of postpartum hemorrhage after the successful rescue. 73 cases with 1 case of maternal hysterectomies without bleeding, 1 case of postpartum hemorrhage was no death.Conclusion ： Effectively screened out before birth mothers at high risk of maternal labor before delivery of knowledge to enhance mission to strengthen the delivery care and close monitoring after delivery maternal vital signs and symptoms, postpartum hemorrhage in a timely manner in case of uterine massage and strengthen psychological care, can effectively reduce the incidence of postpartum hemorrhage, can effectively reduce the rate of bleeding after the hysterectomy, and ultimately enhance and improve maternal quality of life.