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目的探讨持续子宫按摩在减少产后出血、防止宫腔积血的作用。方法选择具有产后出血高危因素(巨大儿、多胎妊娠、羊水过多、滞产、子痫前期)的孕产妇400例,随机分为对照组和实验组,两组各200例,对照组采用常规预防产后出血方法,实验组在采用常规预防产后出血方法基础上胎盘娩出后开始持续按摩子宫30min,观察两组的产后出血量及产后出血发生率。结果实验组产后出血量明显少于对照组,两组差异有统计学意义;实验组产后出血发生率明显低于对照组,两组差异有统计学意义。结论持续子宫按摩可以明显减少产后出血量,降低产后出血发生率,是预防具有高危因素产后出血的一种简便、安全、有效的方法,值得临床推广应用。
Objective To investigate the effect of continuous uterine massage on reducing postpartum hemorrhage and preventing uterine hemorrhage. Methods 400 pregnant women with the risk of postpartum hemorrhage (macrosomia, multiple pregnancy, polyhydramnios, prolonged labor, preeclampsia) were randomly divided into control group and experimental group, with 200 cases in each group. The control group was treated with routine Prevention of postpartum hemorrhage method, the experimental group in the conventional prevention of postpartum hemorrhage based on the method of continuous massage the uterus after the delivery of the placenta 30min, the two groups were observed postpartum hemorrhage and postpartum hemorrhage incidence. Results The amount of postpartum hemorrhage in the experimental group was significantly less than that in the control group, with significant difference between the two groups. The incidence of postpartum hemorrhage in the experimental group was significantly lower than that in the control group. There was significant difference between the two groups. Conclusion Continuous uterine massage can significantly reduce the amount of postpartum hemorrhage and reduce the incidence of postpartum hemorrhage. It is a simple, safe and effective method to prevent postpartum hemorrhage with high risk factors and is worthy of clinical application.