难治性宫缩乏力性产后出血给予三联疗法的临床研究.docxVIP

难治性宫缩乏力性产后岀血给予三联疗法的临床研究 金颖 （云南省大理市第一人民医院妇产科云南大理671000） 【摘要】目的：分析讨论难治性宫缩乏力性产后出血给予三联疗法治疗的 临床效果，以期为临床选择提供指导性依据。方法：现选取笔者所在医院产科接 收并治疗的难治性宫缩乏力性产后出血患者92例，参照随机数字表法将患者划 分为对照组与实验组，例数均为46。胎儿娩出后对照组仅采取宫腔纱布填塞法 治疗，实验组则采取三联疗法治疗，术毕评估比较两组患者的临床疗效、产后出 血情况以及相关并发症发牛情况等的差异。结果：实验组患者的临床总有效率为 95.7%,相较于对照组的73.9%显著更高（PV0.05）；实验组产后2h出血量、产 后24h出血量以及平均出血量较对照组均显著更少（PV0.05）；两组均未见死亡 病例，其他相关并发症的发牛率实验组为4.3%,对照组为23.9%,实验组患者的 并发症发生率显著更低（PV0.05）。结论：难治性宫缩乏力性产后出血予以三联 疗法治疗止血效果理想，相关并发症少，总体疗效确切，对改善患者预后意义重 大，建议临床重视与推广。 【关键词】难治性；宫缩乏力；产后出血；三联疗法 【中图分类号】R453 【文献标识码】A 【文章编号】2095-1752 （2016） 18-0237-02 Clinical study of refractory uterine atony postpartum hemorrhage treated with triple therapy Jinying. The Dali in yunnan provinee for the first peoples hospital of obstetrics and gynecology 671000 china [Abstract] Objective To analyze and discuss intractable uterine atony postpartum hemorrhage treated with triple therapy in the treatment of the clinical effect of, in order for the clinical selection guide. Methods Select the hospital obstetric reception and treatment of intractable uterine atony postpartum hemorrhage patients with 92, referring to the random number table method, the patients were divided into the control group and the experimental group, the number of cases were 46. After the expulsion of the fetus in the control group only took the method of intrauterine packing with gauze treatment, experimental group take triple therapy, postoperative were compared between the two groups of patients with clinical curative effect evaluation, postpartum hemorrhage and complications related to the differences. Results The clinical total effective rate was 95.7% in the experimental group, compared with 73.9% in the control group (P lt; 0.05); the amount of 2h in the experimental group was significantly less than that in the control group (P lt; 0.05); the other related complications were 4.3% in the experimental group and 23.9% in the control group (P lt; 0.05). Conclusion Intractable uterine atony postpartum hemorrha