产后出血预测评分及防治机制在预防剖宫产宫缩乏力性出血中的效果分析

Forecast score of postpartum hemorrhage and prevention mechanism in the prevention of postpartum hemorrhage during cesarean section

目的分析产后出血预测评分及防治机制在预防剖宫产宫缩乏力性出血中的效果。方法选取2013-04-2014-12该院收治的310例剖宫产宫缩乏力性出血产妇作为研究对象。根据患者临产的情况进行产后出血预测评分,按分数进行分组,低危组（0-4分）113例,中危组（5-7分）115例,高危组（8-10分）82例。三组产妇在进行剖宫产胎儿分娩出的前3 min给予卡孕栓,其中高危组在胎儿分娩后给予卡贝缩宫素静脉注射,比较三组产妇各阶段出血量。结果高危组和中危组术中出血量、术后2 h出血量、24 h出血量高于低危组（P〈0.05）,但高危组和中危组之间差异无统计学意义（P〉0.05）。结论产后出血预测评分对产后出血预测存在一定的可靠性,高危产后出血产妇在剖宫产过程中除给予常规的防治措施之外,再给予卡贝缩宫素,可减少产妇术后出血量,具有一定的临床应用价值。

Objective To explore the effect of forecast score of postpartum hemorrhage and its prevention mechanism in the prevention for postpartum hemorrhage of cesarean section. Methods Three hundred and ten cases of cesarean section with postpartum hemorrhage who had received treatment in our hospital from April 2013 and December 2014 were taken as the research subjects. According to the forecast scores of postpartum hemorrhage,these patients were divided into three groups: low risk group( 0 ~ 4 points,n = 113),medium risk group( 5 ~ 7 points,n =115) and high risk group( 8 ~ 10 points,n = 82). Carboprost suppository was given to the three groups three minutes before childbirth,and patients in the high-risk group were injected with Carbetocin after childbirth. The results of hemorrhage were compared among the three groups in each stage of maternal delivery. Results The amount of bleeding during the operation,2 hours and 24 hours after the operation in high risk group or medium risk group was higher than that in low risk group( P < 0. 05). However,there was no significant difference in the amount of bleeding between high risk group and medium risk group( P > 0. 05). Conclusion The forecast score of postpartum hemorrhage in cesarean section is a reliable indicator,and Carbetocin should be additionally given to those parturient with high risk of postpartum hemorrhage in cesarean section.