宫颈钳夹术预防和治疗宫缩乏力性产后出血的研究

Study of the Prophylactic and Curative Effectiveness on Postpartum Hemorrhage by Using Cervix-squeeze Clamps

目的 :探讨预防和治疗宫缩乏力性产后出血的有效方法。方法 :对 5 1例产后出血患者加用宫颈钳夹术 (治疗组 )与同期 4 2例采用常规方法治疗 (对照组 )的产妇在出血量方面进行比较 ;对 6 7例有产后出血高危因素的产妇行宫颈钳夹术预防 (治疗组 )与同期 39例采用常规方法预防 (对照组 )的产妇在产后出血发生率方面进行比较。结果 :治疗组产后出血的发生率 (2 3 89% )低于对照组 (38 4 6 % ) ,差异有显著性 (P <0 0 1) ;治疗组产后出血量显著低于对照组 (P <0 0 5 )。结论 :宫颈钳夹术是预防和治疗宫缩乏力性产后出血的有效方法 。

s: Objectives: To study the prophylactic and treating effectiveness on postpartum hemorrhage by using cervix-squeeze clamps. Methods: Hemorrhage volume was compared between treatment group being composed of 51 patients treated by cervix clamps and control group being composed of 42 patients treated by routine means . The parturients in both groups were suffering postpartum hemorrhage. The occurrence rate of postpartum hemorrhage was compared between prophylactic treatment group being composed of 67 patients whose cervices were squeezed by clamps, and prophylactic control group being composed of 39 patients treated by routine means. The parturients in both prophylactic groups had high risk factors of postpartum hemorrhage. Results: Occurrence rate of postpartum hemorrhage in prophylactic group (23.89%) was significantly lower than that of prophylactic control group (38.46%), P<0.01. Postpartum hemorrhage volume in treatment group was significantly lower than that of control group (P<0.005). Conclusion: Prophylactic and curative effect exerted by cervixes squeeze on postpartum hemorrhage caused by powerless uteri is obvious and is worthy to be popularly applied in clinic.