转盘评估在产后出血早期的应用价值

Apply of Rapid Evaluation of Rotary Table in the Early Massive Postpartum Hemorrhage

目的:探讨转盘快速评估产后出血的应用价值,提高临床医务人员在产后出血早期评估出血量的准确率。方法:选择2018年1~12月721例在广州医科大学附属第三医院分娩的产后出血产妇为研究对象,医务人员分别使用常规及转盘两种方法对患者进行出血量的评估,并比较两种方法对出血量评估效率及医务人员对两种评估方法的评价。结果:转盘的评估时间5.38±2.89分钟,明显短于常规法的12.46±5.32分钟(P<0.01)。转盘评估的敏感性和阳性预测率分别为87.39%和93.27%,均较常规方法明显提高(79.50%和91.77%),差异有统计学意义(P<0.05)。医务人员对两种评估方法的需求性评分分别为8.21±0.92分和9.29±0.24分,安全性评分分别为7.82±1.96分和8.11±1.28分,效益性评分分别为6.78±1.85分和9.21±0.54分,推广性评分分别为5.18±1.03分和9.17±0.65分,转盘法均优于常规法(P<0.05)。结论:使用转盘能够快速评估产后出血量,显著提高出血量评估的准确性及效率。

Objective:To improve the accuracy of clinical staff in assessing the blood volume in early postpartum hemorrhage within a limited time.Methods:721 women hospitalized and labored in our hospital from January to December in 2018 were assessed by both conventional evaluation and rotary table.Efficiency and medical staff’s evaluation were compared.Results:The evaluation time of rotary was just 5.38±2.89 minutes,which was significantly shorter than 12.46±5.32 minutes of the conventional(P<0.01).The sensitivity and positive prediction rate of rotary table were 87.39%and 93.27%,which were both significantly higher than the conventional(79.50%and91.77%),The difference was statistically significant(P<0.05).There were significant difference in the demand,safety,effectiveness and extension of medical staff between rotary(9.29±0.24 score,8.11±1.28 score,9.21±0.54 score and 9.17±0.65 score)and the conventional(8.21±0.92 score,7.82±1.96 score,6.78±1.85 score and 5.18±1.03 score)(P<0.05).Conclusions:The rotary table can quickly assess the blood volume in postpartum hemorrhage and significantly improve the accuracy.