子宫动脉结扎术对减少高危妊娠产后出血的疗效探讨
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摘要
目的探究子宫动脉结扎术对减少高危妊娠产后出血的疗效。方法随选取2016年1月—2018年10月在我院分娩的高危妊娠者共100例,根据患者意愿分组,分为观察组与对照组,每组50例;对照组给予子宫腔球囊填塞术,观察组给予子宫动脉结扎术联合子宫腔球囊填塞术,分别观察两组患者不同时间段出血情况、止血所需时间、不良反应出现率(贫血、恶心、寒战)。结果观察组不同时间段出血、止血所需时间、不良反应总出现率低于对照组,(P <0. 05)。结论给予高危妊娠产后出血患者采用子宫动脉结扎术可有效减少其出血量,对纠正产后贫血等症状有较高临床应用价值,值得临床合理推广应用。
Objective To explore the effect of uterine artery ligation on reducing postpartum hemorrhage in high-risk pregnancy. Methods From January 2016 to October 2018,100 high-risk pregnancies in our hospital were selected and divided into an observation group and a control group according to patients' wishes,with 50 cases in each group. The control group was given uterine balloon tamponade,and the observation group was given uterine artery ligation combined with uterine balloon tamponade. The bleeding situation and hemostasis of two groups at different time as well as the incidence of adverse reactions( anemia,nausea,chills) were observed. Results The total occurrence rate of bleeding,hemostasis time and adverse reactions in the observation group was lower than that in the control group( P < 0. 05). Conclusion Uterine artery ligation can effectively reduce the amount of bleeding in patients with postpartum hemorrhage of high-risk pregnancy. It has high clinical value in correcting postpartum anemia and other symptoms,and is worthy of proper clinical promotion.
Objective To explore the effect of uterine artery ligation on reducing postpartum hemorrhage in high-risk pregnancy. Methods From January 2016 to October 2018,100 high-risk pregnancies in our hospital were selected and divided into an observation group and a control group according to patients' wishes,with 50 cases in each group. The control group was given uterine balloon tamponade,and the observation group was given uterine artery ligation combined with uterine balloon tamponade. The bleeding situation and hemostasis of two groups at different time as well as the incidence of adverse reactions( anemia,nausea,chills) were observed. Results The total occurrence rate of bleeding,hemostasis time and adverse reactions in the observation group was lower than that in the control group( P < 0. 05). Conclusion Uterine artery ligation can effectively reduce the amount of bleeding in patients with postpartum hemorrhage of high-risk pregnancy. It has high clinical value in correcting postpartum anemia and other symptoms,and is worthy of proper clinical promotion.
引文
[1]刘梅毅,司越,李广太.子宫压迫缝合术联合子宫动脉上行支结扎术在预防前置胎盘并发产后出血中的应用[J].中国妇幼保健,2018,33(3):686-688.
[2]郭琼.子宫动脉下行支结扎联合子宫下段压迫缩窄缝合术在凶险性前置胎盘所致产后出血中的应用[J].实用临床医药杂志,2017,21(3):85-88.
[3] AKSU,S.,DEMIRAYAK,G.,KALE,A. Uterine artery ligation at the beginning of total laparoscopic hysterectomy reduces total blood loss and operation duration[J]. Journal of obstetrics and gynaecology:the journal of the Institute of Obstetrics and Gynaecology,2015,35(6):612-615.
[4]赵亮,孙丽芳,郑秀丽,等.子宫动脉结扎与盆腔动脉栓塞治疗难治性产后出血的效果研究[J].中国妇产科临床杂志,2018,19(3):202-204.
[5]黄润镟.一次性囊式宫颈扩张器用于治疗产后出血的临床研究[J].广州医药,2017,48(2):102-104.
[6]戚怀钻.子宫前后壁贯穿缝合结合氨甲环酸对难治性产后出血的临床疗效及DSA影像表现的影响[J].中国医药导报,2018,15(21):98-101.
[7]陈琳.垂体后叶素联合卡前列素氨丁三醇治疗胎盘早剥产后大出血的可行性分析[J].中国当代医药,2019,26(8):125-127,140.
[8]邢顺莲,欧阳芳兰,陈宏锦.改良B-Lynch缝合术治疗产后出血的临床效果与安全性分析[J].中国当代医药,2019,26(7):156-158.
[9]董霞.子宫动脉栓塞与子宫动脉结扎治疗产后出血的对比分析[J].医药论坛杂志,2018,39(10):98-99.
[10]朱薏,路妍妍,田耕.丹参注射液与低分子肝素治疗胎儿生长受限的临床疗效比较[J].现代医院,2016,16(4):483-485.
[11]赵亮,孙丽芳,郑秀丽,等.子宫动脉结扎与盆腔动脉栓塞治疗难治性产后出血的效果研究[J].中国妇产科临床杂志,2018,19(3):202-204.
[12]崔凤英.子宫局部压迫缝合术联合子宫动脉上行支结扎术治疗前置胎盘产后出血的临床价值[J].医疗装备,2018,31(10):81-82.
[13]谢力华,彭伟彬,刘颜,等.一次性球囊宫颈扩张器与地诺前列酮栓促宫颈成熟的实用性对比分析[J].现代医院,2018,18(3):398-401.
[2]郭琼.子宫动脉下行支结扎联合子宫下段压迫缩窄缝合术在凶险性前置胎盘所致产后出血中的应用[J].实用临床医药杂志,2017,21(3):85-88.
[3] AKSU,S.,DEMIRAYAK,G.,KALE,A. Uterine artery ligation at the beginning of total laparoscopic hysterectomy reduces total blood loss and operation duration[J]. Journal of obstetrics and gynaecology:the journal of the Institute of Obstetrics and Gynaecology,2015,35(6):612-615.
[4]赵亮,孙丽芳,郑秀丽,等.子宫动脉结扎与盆腔动脉栓塞治疗难治性产后出血的效果研究[J].中国妇产科临床杂志,2018,19(3):202-204.
[5]黄润镟.一次性囊式宫颈扩张器用于治疗产后出血的临床研究[J].广州医药,2017,48(2):102-104.
[6]戚怀钻.子宫前后壁贯穿缝合结合氨甲环酸对难治性产后出血的临床疗效及DSA影像表现的影响[J].中国医药导报,2018,15(21):98-101.
[7]陈琳.垂体后叶素联合卡前列素氨丁三醇治疗胎盘早剥产后大出血的可行性分析[J].中国当代医药,2019,26(8):125-127,140.
[8]邢顺莲,欧阳芳兰,陈宏锦.改良B-Lynch缝合术治疗产后出血的临床效果与安全性分析[J].中国当代医药,2019,26(7):156-158.
[9]董霞.子宫动脉栓塞与子宫动脉结扎治疗产后出血的对比分析[J].医药论坛杂志,2018,39(10):98-99.
[10]朱薏,路妍妍,田耕.丹参注射液与低分子肝素治疗胎儿生长受限的临床疗效比较[J].现代医院,2016,16(4):483-485.
[11]赵亮,孙丽芳,郑秀丽,等.子宫动脉结扎与盆腔动脉栓塞治疗难治性产后出血的效果研究[J].中国妇产科临床杂志,2018,19(3):202-204.
[12]崔凤英.子宫局部压迫缝合术联合子宫动脉上行支结扎术治疗前置胎盘产后出血的临床价值[J].医疗装备,2018,31(10):81-82.
[13]谢力华,彭伟彬,刘颜,等.一次性球囊宫颈扩张器与地诺前列酮栓促宫颈成熟的实用性对比分析[J].现代医院,2018,18(3):398-401.