不同方法预防产后出血的效果对比研究

摘要

Objective:To compare the different methods of preventing postpartum hemorrhage, to choose the best method to prevent bleeding. Methods: 120 cases of postpartum hemorrhage in accordance with the law of parity numbers were randomly divided into I, II, III group, the number of patients in each group were 40 cases. Three groups were cervical injections, Palace injection and a small pot to oxytocin treatment. Comparison of the clinical efficacy of three groups of patients, postpartum hemorrhage, second and third stage of labor. Results: After treatment, I, II, III clinical patient group, the total effective rate was 62.50%(25/40), respectively, 67.50%(27/40) and 92.50%(37/40),III group was significantly better than the other two group (P<0.05); III postpartum hemorrhage group were significantly less than I,II groups,the differences were statistically significant (P<0.05); III group second stage, third stage of labor was significantly less than I,II two group,the differences were statistically significant (P<0.05). Conclusion: Palace and cervical injection and injection of oxytocin treatment compared to a small pot to oxytocin treatment of postpartum hemorrhage effect is more ideal,a small amount of postpartum hemorrhage, the second and third stage of labor time is short and should be promoted in the clinical and applications.%目的：比较不同方法预防产后出血的效果，以选择最佳预防出血的方法。方法：将120例产后出血患者按照奇偶数字法随机地均分为I、II、III组，每组患者数均为40例。三组分别行宫颈注射、宫体注射及小壶给缩宫素治疗。比较三组患者临床疗效、产后出血量、第二及第三产程时间。结果：经治疗，I、II、III组患者临床总有效率分别为62.50%（25/40）、67.50%（27/40）及92.50%（37/40）， III组疗效显著优于其余两组（P＜0.05）；III组产后出血量均显著小于I、II两组，差异均具有统计学意义（P＜0.05）；III组第二产程、第三产程时间均显著小于I、II两组，差异均具有统计学意义（P＜0.05）。结论：与宫颈注射及宫体注射缩宫素治疗方式相比，小壶给缩宫素治疗产后出血效果更理想，产后出血量小，第二、三产程时间短，应在临床上加以推广及应用。