目的：探讨利用婴儿吸吮联合康复按摩对减少高龄再次剖腹产产妇产后出血的临床效果，为制定相应产后出血的防治策略和措施提供科学的参考依据。方法选取2011年1月~2014年1月在广东省韶关粤北人民医院产科住院的再次剖腹产高龄产妇150例，将患者随机分为两组，试验组和对照组，每组各75例，试验组75例产妇采用新生儿吸吮和乳房康复按摩的方法，而对照组75例产妇采用单纯的新生儿吸吮方法。观察两组产妇的产后出血量以及子宫复旧情况进行对比分析。结果试验组的产后2小时、产后24小时出血量、产后出血率明显少于对照组，差异具有统计学意义(P<0.05)，试验组第三产程时间、产后宫缩乏力明显少于对照组，差异具有统计学意义(P<0.05)，试验组子宫复旧情况明显优于对照组，差异具有统计学意义(P<0.05)。结论利用婴儿吸吮联合康复按摩能够明显提高高龄产妇再次剖腹产的生活质量，减少产后出血量，降低产后出血率，提高产科质量。%Objective To approach clinical effect of elderly repeat cesarean section maternal postpartum hemorrhage by sucking with massage in order to provide a scientific reference for the prevention and control strategies and measures of postpartum hemorrhage.Methods To select repeat cesarean section maternal age in 150 cases of obstetric hospital Guangdong Province Yue bei People's Hospital of Shaoguan form January 2011 to January 2014 and divided them into two groups, test group and control group, 75 patients in each group. Neonatal sucking breast massage and rehabilitation was application of test group 75 cases, newborn sucking method alone was application of control group 75 cases. The amount of postpartum hemorrhage and uterine involution of two groups puerperal were comparative analyzed.Results The amount of bleeding postpartum 2 hours, 24 hours after delivery, rate of postpartum hemorrhage of test group were lower than control group, the difference was obviously, which was statistical significance (P<0.05), the time of third stage of labor, postpartum uterine atony of test group were lower than control group, which was statistical significance(P<0.05), uterine involution of test group were better than control group, which was Statistical significance(P<0.05).Conclusion Advanced maternal age repeat cesarean section quality of life of is obviously increased by baby sucking combined with rehabilitative massage, amount and rate of postpartum hemorrhage postpartum hemorrhage are decreased, the quality of obstetrics is improved.
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