关于产后出血测量方法的回顾性研究

Retrospective Study on Measurement Method of Postpartum Hemorrhage

目的研究产后出血的测量方法及精确情况。方法对南平市第一医院于2016年2月—2017年10月间收治的85例阴道分娩产妇的临床资料进行回顾性分析,均进行产后出血测量,其中31例使用称重法(A组),28例使用容积法(B组),26例使用休克指数法(C组),对比各组产后出血的测量数据。结果与A组和B组相比,C组产后2h、24h出血量的对比差异存在显著性(P<0.05);与A组和B组相比,C组产后出血量增加、产后出血发生率升高,对比均存在显著性差异(P<0.05)。结论采用休克指数法进行产后出血测量的效果显著,值得在临床上运用及推广。

Objective To study the measurement method and precision of postpartum hemorrhage. Methods Clinical data of 85 cases of vaginal delivery women in the hospital from February,2016 to October,2017 were retrospectively analyzed. The measure ment of postpartum hemorrhage was done,including 31 cases receiving weighing method(Group A),28 cases receiving volumetric method(Group B), and 26 patients receiving shock index method(Group C).Data of postpartum haemorrhage measurement of all groups were compared. Results Compared with Group A and Group B,there was significant difference in blood loss after 2h and 24h postpartum in Group C(P<0.05). Compared with Group A and Group B,Group C showed increased postpartum bleeding volume and increased incidence of postpartum hemorrhage,with significant difference(P<0.05). Conclusion Shock index is an effective method to measure postpartum hemorrhage. So it is worth clinical application and popularization.