论文部分内容阅读
目的:对产后宫缩乏力进行相关研究,从中寻找孕产妇幸运生存下来的宝贵经验,为可持续性地降低孕产妇死亡提供科学依据。方法:对贵州省58个“降消”项目县4年间在县乡级医院住院孕产妇,发生宫缩乏力死亡者42例与发生宫缩乏力严重者由于幸运和得到了良好的救治而存活的39例孕产妇,进行对比研究。结果:两组在产次、入院时病情、分娩地点、发生原因等方面无明显差异(P>0.05);两组在分娩过程中使用药物情况、处理方法、治疗抢救情况等均有显著差异(P<0.05),幸存组宫缩乏力处理方法以按摩子宫配合宫缩剂及宫腔填纱布为主,占79.49%。死亡组宫缩素给药途径75%是肌注,幸存组是宫缩素静滴配合使用米索占82.05%。结论:正确使用宫缩剂是减少阴道流血的重要手段,早发现、早处理宫缩乏力致产后出血是阻断死亡之路的关键。宫按摩法配合宫缩剂及宫腔填塞纱布应用可以明显减少产后出血量,方法简单易行,安全有效,值得在基层推广。
Objective: To study the relationship between postpartum uterine inertia and find the precious experience of surviving pregnant women and to provide a scientific basis for the sustainable reduction of maternal mortality. METHODS: Forty-eight cases of uterine inertia who died of uterine atony in 58 county hospitals in Guizhou Province during the four years were hospitalized at county and township level hospitals. Forty-two cases of uterine atony and severe uterine atony were treated with good luck and good treatment Survival of 39 pregnant women, for comparative study. Results: The two groups had no significant difference (P> 0.05) between the time of delivery and the condition of hospitalization, the place of delivery and the causes of the two groups (P> 0.05). There were significant differences between the two groups in the use of drugs during delivery, the treatment methods, P <0.05). Survival group uterus with uterine contractions and uterine gauze gauze processing method accounted for 79.49%. Death group of uterine prime route of administration of 75% is intramuscular injection, survivors group is intravenous infusion of contraceptives misoprostol 82.05%. Conclusion: The correct use of uterotonics is an important means to reduce vaginal bleeding, early detection and early treatment of uterine bleeding caused by postpartum bleeding is the key to blocking the road to death. Palace massage method with uterine contractions and gauze packing can significantly reduce postpartum hemorrhage, the method is simple, safe and effective, it is worth at the grassroots promotion.