中药计血量产妇纸在产科应用的临床研究

Clinical Study on Obstetric Usage of Metre Papers with Chinese Medicine.

目的:探讨中药计血量产妇纸在产科应用的临床意义。方法:对使用中药计血量产妇纸1200例产妇进行产后24h出血量监测,测量产后5天内宫底高度,观察会阴伤口情况,统计产褥感染发生率和使用者反馈信息。结果:中药计血量产妇纸计血量准确、简便;子宫复旧加快,每天子宫平均缩复2cm,会阴伤口感染发生率0.56％,产褥感染率0.67％,均低于文献报道。同时发现,阴道自然分娩组较其它手术产组出血量少(P<0.01),产后2h出血量占产后24h出血量的80％以上。结论:中药计血量产妇纸监测产后出血量准确、简便、快捷,可接受性好;且集保健、预防和治疗于一体,是促进产妇健康恢复的行之有效方法。同时,降低手术产率,对减少产后出血量有重大意义。

Objective: To investigate the clinical effect of the metre papers with Chinese medicine used by parturient. Methods: 1,200 cases were monitored the amount of postpartum hemorrhage in 24 hours using metre papers with Chinese medicine. We detected the height of the uterine fundus in 5 days after delivery, and observed the perineal wound and figured out the incidence of puerperal infection and the feedback information of the user. Results :The metre papers with Chinese medicine could calculate the amount of postpartum hemorrhage accurately and conveniently. It made the uterus contract faster ( average 2cm per day ) . The incidence of the perineal wound infection was 0. 56% . The incidence of puerperal infection was 0. 67% . It was lower than those reported by documents. At the meantime,the amount of postpartum hemorrhage in natural labor group was less than the operative delivery group(P <0. 01). The amount of postpartum hemorrhage in 2 hours was over 80% of that in 24 hours. Conclusions: The metre papers with Chinese medicine could monitor the amount of postpartum hemorrhage accurately, conveniently and quickly. And it had a good tolerance for the parturient. It had the good advantage of health care, prevention and treatment. It was a effective way for the health recovery of parturient. And it was important to reduce the rate of operative delivery and decrease the amount postpartum hemorrhage.