摘要
Abstract
Objective:To explore a simple,convenient,fast,effective and safe haemostasis and its clinical effect,which can be used during gynecological laparotomy in primary hospital. Method:Set the 192 patients as the study group,who had the gynecological laparotomy in 2010 to 2011. During the operation,the haemostasis was used on encircling the uterine artery and vein of Cerclage. Finish the operation quickly after bleeding stanched. Set another 189 patients as the comparison group,who had the gynecological laparotomy in 2008-2009. The normal bleeding stanching method-inject Oxytocin 20 u or Vasopressin 6 u to uterus was adopted during operation for these comparison group patients. The comparison is among:blood loss, operative time,anal exhaust time,Postoperative hypothermia,the time for using antibiotics t,length of stay and hospital expense. Result:The blood loss and operative time of the study group were significantly reduced,and there is statistical significance between the difference(P<0.01). Meanwhile,the difference in anal exhaust time,postoperative temperature anomalies,antibiotics time,length of stay,hospital expense also had statistical significance (P<0.05).Conclusion:In the primary hospital,adopting the haemostasis to encircle the uterine artery and vein of Cerclage to stanch bleeding can shorten the operation time,reduce the bleeding during operation and reduce the incidence of postoperative complications,with the advantages of less trauma,quicker recovery,economy,security,effectiveness,etc.关键词
妇科开腹手术/简易止血带/术中止血Key words
Gynecological laparotomy/Simple tourniquet/Intraoperative hemostasis