中外医学研究Issue(8)：3-4,5,3.
剖宫产术中应用子宫按摩后行胎盘剥离减少术中失血的临床研究
The Clinical Research of the Uterine Massage after Delivering of the Placenta for Decreasing the Blood Loss in Cesarean Section
陈圣莲 1石恒 1刘利 1黄桂珍1
作者信息
- 1. 泗洪县人民医院 江苏 泗洪 223900
- 折叠
摘要
Abstract
Objective:Discussion on cesarean section uterine massage again first placenta on effects of intraoperative blood loss. Methods:Randomly controlled clinical trial was adopted which contained 120 cases. The observation group(n=60) were performed immediate uterine massage after the delivery of the baby,combining with oxytocin 10 U intramuscular injection on the uterine fund us,and then other kinds of operation such as placenta separation,saturation of the uterus incision were performed when the excellent uterine contraction was got. The control group(n=60),after the baby delivery,intramuscular injection of oxytocin 10 U,were immediately performed immediate manual removal of the placenta,and then the procedure for hemostasis and saturation of the uterus incision. To record the blood loss from the baby delivery to the end of closing up the uterine incision and the time cost in the procedure,to count the ratio which needed extra technique for hemostasis. Compared between the two groups from the fetus to the percentage of the uterine suture required time and the period of time the amount of bleeding and the need for additional hemostatic operation.Results:The operation time in the observation group was longer than the control group,but there was no significant difference statistically (P>0.05);The difference of blood loss was statically significant (P<0.05),observation group’s was less;The percentage of extra hemostasis in the observation group was less than in the control group (P<0.05).Conclusion:It is benefit for decreasing the blood loss and extra hemostasis and without increasing the operation time at caesarean section by the procedure of uterine massage after baby delivery and latter placenta delivery when getting good uterus contraction.关键词
剖宫产/子宫按摩/胎盘剥离Key words
Caesarean section/Uterine massage/Delivery of the placenta分类
医药卫生引用本文复制引用
陈圣莲,石恒,刘利,黄桂珍..剖宫产术中应用子宫按摩后行胎盘剥离减少术中失血的临床研究[J].中外医学研究,2013,(8):3-4,5,3.
