无齿卵圆钳钳夹宫颈治疗阴道分娩产后出血

Clinical effect of toothless oval clamp cervical clamp in treatment for vaginal childbirth postpartum hemorrhage

目的：探讨无齿卵圆钳钳夹宫颈在阴道分娩产后出血中的止血效果。方法选择我院50例阴道分娩产后出血患者为研究对象，分为观察组和对照组各25例，对照组给予常规米索前列醇、催产素等治疗，观察组在常规治疗基础上使用无齿卵圆钳钳夹宫颈进行治疗。结果观察组产后2h 出血（670.5±12.5）ml、产后2～24h 出血（59.8±10.7）ml 以及产后1天血红蛋白下降（15.2±5.1）g/ L 均明显低于对照组（P ﹤0.01）；观察组平均输血量（501.2±16.7）ml，明显低于对照组（652.8±12.9）ml（P ﹤0.01）。结论对于阴道分娩产后出血患者在给予催产素以及米索前列醇等常规治疗的同时，应用无齿卵圆钳钳夹子宫能提高止血效果，且操作简单，值得推广使用。

Objective：To investigate clinical effect of toothless oval clamp cervical clamp in treatment for vaginal child-birth postpartum hemorrhage. Methods：Fifty cases patients with vaginal delivery with postpartum hemorrhage in our hospi-tal were divided into the control group（25）treated by misoprostol and oxytocin and the observation group（25）treated by toothless oval clamp jaws for treatment of cervical on the basis of the treatment in the control group. Results：After treat-ment 2h postpartum bleeding（670. 5 ± 12. 5）ml,2 ～ 24h postpartum hemorrhage（59. 8 ± 10. 7）ml and 1 day postpartum hemoglobin decrease（15. 2 ± 5. 1）g / L of observation group were significantly lower than those of the control group（P ﹤0. 01）. The average amount of blood transfusion of the observation group was significantly lower than that of the control group（P ﹤ 0. 01）. Conclusion：While vaginal childbirth postpartum hemorrhage patients are given oxytocin and misoprostol and other conventional treatments,the application of toothless oval clamp can improve hemostasis.