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科研项目 韶关市卫生局科技立项项目(编号WSTJJ 2009 1102 3601 2219 7612 2639 69)
摘 要 目的:评价宫腔水囊壓迫联合米索前列醇治疗剖宫产术中止血困难的病例疗效。方法:选择剖宫产术中止血困难的病例20例,将其随机分为两组,各10例,分别采用宫腔水囊压迫联合米索前列醇(研究组)和宫腔水囊压迫(对照组)治疗。研究组手术前30分钟予米索前列醇200μg舌下含服,台上先予米索前列醇400μg溶碘皮肤黏膜消毒液置宫腔,自制水囊送入宫底部,注入生理盐水至宫腔不出血为止,一般注入300ml即可达到止血效果,12小时后取出。为预防术后继发性宫缩乏力性出血,术后再予米索前列醇200μg舌下含服,每6小时1次,3次;对照组仅采用水囊压迫止血,水囊放置方法与研究组中的相同;比较两组术中及产后2小时及24小时出血量、产后出血发病率、产后24小时血红蛋白下降值。结果:研究组术中及产后2小时出血量、产后24小时出血量、产后24小时血红蛋白下降值均低于对照组,差异均有统计学意义(P<0.05);研究组产后出血发病率明显低于对照组(P<0.05)。结论:宫腔水囊压迫联合米索前列醇治疗法操作简便,止血迅速,效果确切,取材容易,成功率高,适用于各级医院。
关键词 宫腔水囊压迫 米索前列醇 止血
doi:10.3969/j.issn.1007-614x.2010.22.086
Uterine water bag oppression combination of misoprostol in the treatment of cesarean section in cases of bleeding difficult curative effect
The Hospital of Shaoguan occupational-disease-prevention gynecology and obstetrics
Guoxiaoling Liurongjun Wuyuping
AbstractObjective:to evaluate the oppression of uterine water bag joint of misoprostol in the treatment of cesarean section in cases of bleeding difficult curative effect.Methods:select cesarean section of bleeding difficult cases,20 cases were randomly divided into groups and each group,10 cases were used respectively,water bag oppression joint misoprostol(group)and effective water bag oppression (control group).The half an hour before the surgery to 200μg misoprostol under the tongue,stage in 400μg misoprostol dissolve detergent for skin mucous membrane of iodine,uterine water bag into the palace,and injected saline water at the bottom of uterine bleeding,generally not to inject 300ml bleeding effect,after 12 hours.To preent postoperatie secondary contractions fatigue sex,postoperative bleeding to 200μg misoprostol under the tongue q6h under 3x,Only by water control,water bag no bleeding in the same place with the research method,Compare two sets of intraoperatie bleeding and postpartum 2h 24h and the incidence of postpartum hemorrhage,and postpartum 24h hemoglobin decline.Results:The bleeding and postpartum 2h intraoperatie bleeding, postpartum 24h,postpartum 24h hemoglobin decline in the value of a statistically significant difference(P<0.05).The incidence of postpartum hemorrhage obviously lower than those of the control group(P<0.05).Conclusion:effective water bag oppression joint misoprostol therapy,simple operation,hemostatic effect,rapid,exact to high success rate,suitable for various each layer of the hospital.
Key WordsUterine water bag oppression;Misoprostol;Bleeding
摘 要 目的:评价宫腔水囊壓迫联合米索前列醇治疗剖宫产术中止血困难的病例疗效。方法:选择剖宫产术中止血困难的病例20例,将其随机分为两组,各10例,分别采用宫腔水囊压迫联合米索前列醇(研究组)和宫腔水囊压迫(对照组)治疗。研究组手术前30分钟予米索前列醇200μg舌下含服,台上先予米索前列醇400μg溶碘皮肤黏膜消毒液置宫腔,自制水囊送入宫底部,注入生理盐水至宫腔不出血为止,一般注入300ml即可达到止血效果,12小时后取出。为预防术后继发性宫缩乏力性出血,术后再予米索前列醇200μg舌下含服,每6小时1次,3次;对照组仅采用水囊压迫止血,水囊放置方法与研究组中的相同;比较两组术中及产后2小时及24小时出血量、产后出血发病率、产后24小时血红蛋白下降值。结果:研究组术中及产后2小时出血量、产后24小时出血量、产后24小时血红蛋白下降值均低于对照组,差异均有统计学意义(P<0.05);研究组产后出血发病率明显低于对照组(P<0.05)。结论:宫腔水囊压迫联合米索前列醇治疗法操作简便,止血迅速,效果确切,取材容易,成功率高,适用于各级医院。
关键词 宫腔水囊压迫 米索前列醇 止血
doi:10.3969/j.issn.1007-614x.2010.22.086
Uterine water bag oppression combination of misoprostol in the treatment of cesarean section in cases of bleeding difficult curative effect
The Hospital of Shaoguan occupational-disease-prevention gynecology and obstetrics
Guoxiaoling Liurongjun Wuyuping
AbstractObjective:to evaluate the oppression of uterine water bag joint of misoprostol in the treatment of cesarean section in cases of bleeding difficult curative effect.Methods:select cesarean section of bleeding difficult cases,20 cases were randomly divided into groups and each group,10 cases were used respectively,water bag oppression joint misoprostol(group)and effective water bag oppression (control group).The half an hour before the surgery to 200μg misoprostol under the tongue,stage in 400μg misoprostol dissolve detergent for skin mucous membrane of iodine,uterine water bag into the palace,and injected saline water at the bottom of uterine bleeding,generally not to inject 300ml bleeding effect,after 12 hours.To preent postoperatie secondary contractions fatigue sex,postoperative bleeding to 200μg misoprostol under the tongue q6h under 3x,Only by water control,water bag no bleeding in the same place with the research method,Compare two sets of intraoperatie bleeding and postpartum 2h 24h and the incidence of postpartum hemorrhage,and postpartum 24h hemoglobin decline.Results:The bleeding and postpartum 2h intraoperatie bleeding, postpartum 24h,postpartum 24h hemoglobin decline in the value of a statistically significant difference(P<0.05).The incidence of postpartum hemorrhage obviously lower than those of the control group(P<0.05).Conclusion:effective water bag oppression joint misoprostol therapy,simple operation,hemostatic effect,rapid,exact to high success rate,suitable for various each layer of the hospital.
Key WordsUterine water bag oppression;Misoprostol;Bleeding