剖宫产宫缩乏力性产后出血的临床治疗分析

Clinical Analysis of Treatment of Uterine Atony Postpartum Hemorrhage after Cesarean Section

目的探讨剖宫产宫缩乏力性产后出血的临床治疗方法及治疗效果。方法随机将该院收治的160例剖宫产宫缩乏力性产后出血患者分为4组,并对4组患者分别实施不同的治疗方法,并观察各组患者的出血量及宫缩好转时间。结果通过进行分析可以得知,在产后2h出血量和宫缩好转时间方面,和A、B、C组相比,D组出血量最少,并发症也最少,差异有统计学意义(P<0.05)。结论临床对剖宫产宫缩乏力性产后出血患者实施缩宫素加温热盐水灌注盆腔加米索前列醇舌下含化治疗效果优于缩宫素加手法按摩以及缩宫素加温热盐水纱布热敷子宫等治疗效果,值得临床推广使用。

Objective To investigate the clinical treatment of cesarean section uterine atony postpartum hemorrhage and treatment effect. Methods A total of 160 cases of cesarean section uterine atony postpartum hemorrhage patients were divided into 4 groups in our hospital, and 4 groups of patients with different treatment methods were implemented, and the observation group patients the amount of bleeding and uterine recovery time. Results Through analysis that, in 24 hours postpartum bleeding and uterine recovery time, compared with A, B, C group, D group, amount of bleeding complications are minimal, at least, there was statistically significant （P 〈 0.05）. Conclusion Clinical on cesarean section uterine atony postpartum hemorrhage of oxytocin plus hyperthermie saline perfusion pelvic and misoprostol misoprostol sublingual therapy effect is better than that of oxytocin and oxytocin and massage with warm saline gauze uterus treatment of patients, is worthy of clinical use.